[INVASIVE TECHNIQUES AND INTRAOPERATIVE ECHOGRAPHY IN THE LOCALIZATION OF INSULINOMAS; A CASE REPORT].

Autor: Herrera-Martínez AD; UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com., Padillo-Cuenca JC; UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com., Calañas Continente A; UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com., Bahamondes-Opazo R; UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com., Muñoz-Jiménez C; UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com., Gálvez Moreno MA; UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com.
Jazyk: Spanish; Castilian
Zdroj: Nutricion hospitalaria [Nutr Hosp] 2015 Jul 01; Vol. 32 (1), pp. 426-9. Date of Electronic Publication: 2015 Jul 01.
DOI: 10.3305/nh.2015.32.1.8925
Abstrakt: The insulinoma is the most common pancreatic neuroendocrine tumor. Surgery is curative in most cases, an appropriate preoperative localization allows a minimal invasive surgical technique for keeping the exo and endocrine function of the pancreas. Some authors suggest the use of invasive localization techniques just in cases with non-identified tumor lesion, others recommend their routinely use. We describe a case with clinical and biochemical diagnosis of insulinoma, conventional image studies revealed a tumor image in the pancreas which corresponded to a lipoma, the intraoperative ultrasound allowed the localization of the real tumor, but body-tail pancreatectomy was performed due to pancreatic necrosis in relation with the duration of the surgery. The systematic use of invasive localization techniques as the intra-arterial calcium stimulation and the pancreatic intraoperative ultrasound would allow a better localization of insulinoma for avoiding complications and associated morbidity.
(Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.)
Databáze: MEDLINE
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