Near infrared light examination as part of the management of sporadic pancreatic head insulinoma: Case report
| Autor: | Dan Petru Constantinescu, Mihaela Ioana Constantinescu, Miana Gabriela Pop, Valentin Muntean, Daniela Simona Pintea, Stefan Chiorescu, Razvan Alexandru Ciocan |
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| Rok vydání: | 2019 |
| Předmět: |
Pathology
medicine.medical_specialty 030230 surgery Hypoglycemia Neuroendocrine tumors Article 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Pancreatic tumor Case report Medicine Pancreatic neuroendocrine tumors Insulinoma Lymph node Near infrared light business.industry medicine.disease Pylorus Indocyanine green medicine.anatomical_structure chemistry 030220 oncology & carcinogenesis Surgery business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • 77-Year-old female patient with the diagnosis of pancreatic head insulinoma. • We used near infrared light to detect synchronous pancreatic tumors. • Near infrared light was used to detect secondary lymph node, liver metastasis. • Was perform cephalic pancreatoduodenectomy. • Evolution was favorable. Introduction We report the case of a 77-year-old female patient with the diagnosis of pancreatic head insulinoma, in whom we used near infrared light (NIR) to detect synchronous pancreatic tumors and potential secondary lymph node or liver involvement. The patient presented with hypoglycemia manifesting by lipothymia. With the diagnosis of secretory neuroendocrine tumor (insulinoma) of the pancreatic head, cephalic pancreatoduodenectomy with the preservation of the pylorus was performed after NIR visualization of the pancreatic tumor mass. At 6, 12, 18 months postoperatively, the patient no longer had hypoglycemia and her general state was good. Conclusion NIR with indocyanine green (ICG) evidences pancreatic neuroendocrine tumors, as well as possible synchronous tumors and secondary lymph node or liver involvement. |
| Databáze: | OpenAIRE |
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