Multiple endocrine neoplasia type 1 with upper gastrointestinal hemorrhage and perforation: A case report and review

Figure 1 Computed tomography scan of the case. A: Chest Computed tomography (CT) shows a mediastinal emphysema (arrows); B: Epigastric CT shows accumulation of gas and fluid (arrows) in the anterior pararenal space just adjacent to the thickened wall of the horizontal part of the duodenum as well as accumulation of gas in the right perirenal space; C, D: A small intestine CT shows bowel wall thickening and strong enhancement of the horizontal part of the duodenum and a nodular mass (arrows) with a rich blood supply in the uncinate process (C) and tail (D) of the pancreas; E: Thyroid gland CT shows mild nodular goiter with nodules (arrow) posterior and lateral to the thyroid gland.