Figure 2. Second Recurrent Liver Gastrinoma in a Patient With Zollinger-Ellison Syndrome.

A, Computed tomographic (CT) scan of the patient in Figure 1 shows a new recurrence in liver segments VI and VII 4 years after the first recurrent tumor excision and 15 years after the initial central hepatectomy. B, Gallium 68–labeled DOTATOC positron emission tomographic (PET) scan shows that the recurrent tumor takes up the somatostatin analogue and is consistent with a gastrinoma.