Presence of gastrinoma tumor should be suspected in which of the following conditions?
1. Ulcers in unusual location
2. Ulcers in the presence of H. pylori
3. Ulcers with frank complication like perforation
Select the correct answer using the code given below:
(a) 1, 2 and 3
(b) 2 and 3 only
(c) 1 and 3 only
(d) 1 and 2 only
ANS- (c) 1 and 3 only
ulcers in unusual locations (second part of the duodenum and beyond),ulcers refractory to standard medical therapy, ulcer recurrence after acid-reducing surgery, ulcers presenting with frank complications (bleeding, obstruction, and
perforation), or ulcers in the absence of H. pylori or NSAID ingestion suggestive of gastrinoma tumour.
Source : harrison/P1927