Case report

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    Brian Wosnitzer: gro. WosnitzerContact Dr. Wosnitzer gro.

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    Copyright © The Authors. Abstract Multiple endocrine neoplasia 1 MEN 1 is a rare genetic disorder classically characterized by a predisposition to tumors of the parathyroid glands, anterior pituitary gland, and pancreatic islet cells 1. In addition to exhibiting these characteristic tumors, MEN 1 patients also have an increased propensity for other tumors such as carcinoids, adrenal adenomas, angiofibromas, and lipomas 123.

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    Although MEN 1 is rare, with a prevalence of approximately 2 perpeople, recognition of this syndrome is extremely important for both patient treatment and evaluation of family members 14. The tumors of MEN 1 are usually benign; however, malignancy of some carcinoid, islet cell, and gastrointestinal tract tumors can cause mortality 5adenoma hypophysis mri78.

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    Diagnosis of MEN 1 is usually made by a combination of history and physical examination, biochemical serum testing, and various imaging modalities 9 We present a classic case of MEN 1 with unique presentation and diagnosis using predominantly nuclear imaging in order to emphasize the role of nuclear imaging in diagnosing and treating MEN 1. Abbreviations: CT, computed tomography; MRI, magnetic resonance imaging; MEN 1, multiple endocrine neoplasia 1; EGD, esophagogastroduodenoscopy Case report The patient, a year-old male with a history of peptic ulcer disease, presented to the emergency department after syncope.

    EGD revealed no gross lesions in the esophagus; however, enlarged gastric folds, duodenal erosion, and two umbilicated nodules were found in the duodenum with no evidence of active bleeding.

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    After receiving four A prostatitis ranet kezelése of packed red blood cells and not responding appropriately, the patient underwent a nuclear medicine gastrointestinal bleeding scan for evaluation of a bleeding source. Images show bleeding in the distribution of the small bowel Fig.

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