This case is about a male with 4 and 9 years and multiple endocrine neoplasia type 1 and distal pancreatectomy from non-functioning endocrine tumor. An endoscopy of October, he has a subepithelial lesion measuring 10 millimeters and the scope ultrasound, it was region in second layer and measuring 5 to 5 millimeters. Endoscopy resection of November was with a lesion marking, submucosa injection with selenium and methylene blue of the scope metoclip placement. this packed after a clip it was cut with a monofilament and a snare and was a full thickness in this section anatomathologic is after the procedure kept fastened antibiotics he complains of pain but a doubt of plutonism on abdominal CT demonstrated minimal local penemoperitoneum and weak decumulation on a second day distillation of vacuum therapy was minimal CO2 insufflation after vacuum therapy he improves of the pain and detests with leucostas and a C-relative protein after 5 days a new abdominal CT demonstrated without or the contracturalization he evolved without abdominal pain and on the 7th day withdrawal from vacuum therapy and resumed water, tea and gelatin on the 8th day resumed liquid diet and on the 9th day he has a hospital discharge on an outpatient return he has no complaint and anatomopathological well differentiated neuroendocrine with surgical margins free

endocrine tumor

distal pancreatectomy

subepithelial lesion

vacuum therapy

neuroendocrine