TY  - JOUR
T1  - IMage of the year for 2009
Y1  - 2009/12/21
N1  - 10.1001/archsurg.2009.212
JO  - Archives of Surgery
SP  - 1166
EP  - 1166
VL  - 144
IS  - 12
N2  - 
Congratulations to Timothy L. Frankel, MD, and Paul G. Gauger, MD, of the University of Michigan, Ann Arbor; they coauthored the winning Image of the Year for 2009. Their Image of the Month article on Wermer syndrome and Zollinger-Ellison syndrome appeared in the April 2009 issue (Arch Surg. 2009;144[4]:377-378). This article addressed the difficult problem of preoperative localization of multifocal gastrinomas in patients with multiple endocrine neoplasia type I. The preoperative computed tomography (CT) scan illustrated a novel technique that used a low-density, barium-based, oral contrast agent during the arterial phase of intravenous contrast-enhanced spiral CT of the abdomen. The oral agent distended the duodenum enough to silhouette the small arterially enhancing mucosal tumors. The CT scan was coupled with a photograph of the opened, resected duodenum showing the same tumors located on the mucosal surface. This photograph is a valuable teaching image for resident physicians, many of whom will have little or no opportunity to see these duodenal tumors during their general surgical training.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.2009.212
UR  - http://dx.doi.org/10.1001/archsurg.2009.212
ER  -