Obesity Surgery

, Volume 17, Issue 7, pp 989–992

Carcinoid Syndrome Misdiagnosed as a Malabsorptive Syndrome after Biliopancreatic Diversion

Authors

    • Department of Gastrointestinal SurgeryHospital Universitario de Canarias (HUC)
  • I. Arteaga González
    • Department of Gastrointestinal SurgeryHospital Universitario de Canarias (HUC)
  • H. Díaz Luis
    • Department of Gastrointestinal SurgeryHospital Universitario de Canarias (HUC)
  • A. Carrillo Pallarés
    • Department of Gastrointestinal SurgeryHospital Universitario de Canarias (HUC)
Case Report

DOI: 10.1007/s11695-007-9157-4

Cite this article as:
López-Tomassetti Fernández, E.M., González, I.A., Luis, H.D. et al. OBES SURG (2007) 17: 989. doi:10.1007/s11695-007-9157-4

Abstract

A case is reported of a woman who developed untreatable diarrhea after a prior biliopancreatic diversion (BPD), attributed to the malabsorptive component. Abdominal ultrasound incidentally found focal liver lesions. On fine needle aspiration biopsy, atypia was found, and these hepatic lesions were resected with free margins. The specimen showed liver metastases of an aggressive malignant neuroendocrine neoplasm. The primary site was subsequently identified to be in the pancreas. The physician and surgeon must realize that non-related diseases can develop after bariatric surgery, as in the general population.

Key words

Morbid obesity bariatric surgery biliopancreatic diversion neuroendocrine cancer carcinoid syndrome liver metastases cancer

Copyright information

© Springer Science + Business Media B.V. 2007