Carcinoid Syndrome Misdiagnosed as a Malabsorptive Syndrome after Biliopancreatic Diversion Authors
First Online: 06 July 2007 Received: 24 January 2007 Accepted: 29 April 2007 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
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.
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