Chronic Diarrhea Caused by Vasoactive Intestinal Peptide-Secreting Tumor. 2023

Oana Belei, and Diana-Georgiana Basaca, and Elena Rodica Heredea, and Emil Radu Iacob, and Laura Olariu, and Roxana Folescu, and Andrei Gheorghe Marius Motoc, and Anda-Maria Nanu, and Otilia Mărginean
First Pediatric Clinic, Disturbances of Growth and Development on Children Research Center, "Victor Babeș" University of Medicine and Pharmacy, 300041 Timișoara, Romania.

VIPomas are a type of neuroendocrine tumor that independently produces vasoactive intestinal peptide (VIP). VIPomas causing watery diarrhea, hypokalemia, and achlorhydria (WDHA) syndrome are not frequently observed in adult patients without pancreatic ailments. However, in children, the occurrence of a VIPoma originating in the pancreas is exceedingly uncommon. Instead, WDHA syndrome is more commonly associated with neurogenic tumors that secrete VIP, often located in the retroperitoneum or mediastinum. Among infants, chronic diarrhea is a prevalent issue that often necessitates the attention of pediatric gastroenterologists. The underlying causes are diverse, and delays in arriving at a definitive diagnosis can give rise to complications affecting the overall well-being of the child. The authors present the case of an infant with chronic watery diarrhea, subocclusion manifestations, mild hypokalemia, and metabolic hyperchloremic acidosis secondary to a VIPoma in the retroperitoneum that was diagnosed via abdominal ultrasound and tomography. The laboratory results revealed lowered potassium levels and an excessive secretion of VIP. Following the surgical removal of the tumor, the diarrhea resolved, and both electrolyte levels and the imbalanced hormone levels returned to normal. Immunohistochemical examination confirmed the diagnosis of ganglioneuroblastoma, with N-MYC negative on molecular biology tests. We present the clinical and histo-genetic aspects of this rare clinical entity, with a literature review.

UI MeSH Term Description Entries

Related Publications

Oana Belei, and Diana-Georgiana Basaca, and Elena Rodica Heredea, and Emil Radu Iacob, and Laura Olariu, and Roxana Folescu, and Andrei Gheorghe Marius Motoc, and Anda-Maria Nanu, and Otilia Mărginean
June 2014, Turk pediatri arsivi,
Oana Belei, and Diana-Georgiana Basaca, and Elena Rodica Heredea, and Emil Radu Iacob, and Laura Olariu, and Roxana Folescu, and Andrei Gheorghe Marius Motoc, and Anda-Maria Nanu, and Otilia Mărginean
January 2020, Frontiers in pediatrics,
Oana Belei, and Diana-Georgiana Basaca, and Elena Rodica Heredea, and Emil Radu Iacob, and Laura Olariu, and Roxana Folescu, and Andrei Gheorghe Marius Motoc, and Anda-Maria Nanu, and Otilia Mărginean
December 1983, American journal of diseases of children (1960),
Oana Belei, and Diana-Georgiana Basaca, and Elena Rodica Heredea, and Emil Radu Iacob, and Laura Olariu, and Roxana Folescu, and Andrei Gheorghe Marius Motoc, and Anda-Maria Nanu, and Otilia Mărginean
March 2022, Cureus,
Oana Belei, and Diana-Georgiana Basaca, and Elena Rodica Heredea, and Emil Radu Iacob, and Laura Olariu, and Roxana Folescu, and Andrei Gheorghe Marius Motoc, and Anda-Maria Nanu, and Otilia Mărginean
February 1997, Archives of pathology & laboratory medicine,
Oana Belei, and Diana-Georgiana Basaca, and Elena Rodica Heredea, and Emil Radu Iacob, and Laura Olariu, and Roxana Folescu, and Andrei Gheorghe Marius Motoc, and Anda-Maria Nanu, and Otilia Mărginean
October 2019, Pancreas,
Oana Belei, and Diana-Georgiana Basaca, and Elena Rodica Heredea, and Emil Radu Iacob, and Laura Olariu, and Roxana Folescu, and Andrei Gheorghe Marius Motoc, and Anda-Maria Nanu, and Otilia Mărginean
January 1980, American journal of diseases of children (1960),
Oana Belei, and Diana-Georgiana Basaca, and Elena Rodica Heredea, and Emil Radu Iacob, and Laura Olariu, and Roxana Folescu, and Andrei Gheorghe Marius Motoc, and Anda-Maria Nanu, and Otilia Mărginean
April 2022, World journal of gastrointestinal oncology,
Oana Belei, and Diana-Georgiana Basaca, and Elena Rodica Heredea, and Emil Radu Iacob, and Laura Olariu, and Roxana Folescu, and Andrei Gheorghe Marius Motoc, and Anda-Maria Nanu, and Otilia Mărginean
May 1988, The American journal of gastroenterology,
Oana Belei, and Diana-Georgiana Basaca, and Elena Rodica Heredea, and Emil Radu Iacob, and Laura Olariu, and Roxana Folescu, and Andrei Gheorghe Marius Motoc, and Anda-Maria Nanu, and Otilia Mărginean
January 1986, Pancreas,
Copied contents to your clipboard!