A 46-year-old female presents with abdominal pain and
diarrhoea. She has been on diclofenac for a long time and has also been taking
omeprazole long term for dyspepsia.
Hb 12.5 g/dL
Corrected calcium 2.94 mmol/L
ESR 20 mm in 1st hour
Endoscopy shows multiple duodenal ulcers, biopsies from
the antrum of the stomach and the fundus do not show Helicobacter pylori on
In this patient what is the likely diagnosis?
Non-steroid induced colopathy
Multiple endocrine neoplasia