Obesity Surgery

, Volume 17, Issue 7, pp 989–992

Carcinoid Syndrome Misdiagnosed as a Malabsorptive Syndrome after Biliopancreatic Diversion

  • E. M. López-Tomassetti Fernández
  • I. Arteaga González
  • H. Díaz Luis
  • A. Carrillo Pallarés
Case Report


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 


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Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • E. M. López-Tomassetti Fernández
    • 1
  • I. Arteaga González
    • 1
  • H. Díaz Luis
    • 1
  • A. Carrillo Pallarés
    • 1
  1. 1.Department of Gastrointestinal SurgeryHospital Universitario de Canarias (HUC)Canary IslandsSpain
  2. 2.Department of SurgeryHospital Universitario de CanariasCanary IslandsSpain

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