Insulinoma-associated Transient Hypothalamus—Pituitary—Adrenal Axis Impairment and Amelioration by Steroid Therapy and Surgical Intervention: A Case Report
| Autor: | Shih-Chieh Hsin, Shyi-Jang Shin, Yu-Hung Chang, Kun-Der Lin, Ming-Chia Hsieh |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Adult
medicine.medical_specialty Hypothalamo-Hypophyseal System endocrine system endocrine system diseases Prednisolone Urology Pituitary-Adrenal System Stimulation Hypoglycemia insulinoma Internal medicine medicine Adrenal insufficiency Humans Insulinoma hypothalamus—pituitary—adrenal axis impairment Medicine(all) lcsh:R5-920 Somatostatin receptor scintigraphy business.industry General Medicine medicine.disease Combined Modality Therapy Pancreatic Neoplasms Steroid therapy Endocrinology Hypothalamus Female business lcsh:Medicine (General) hormones hormone substitutes and hormone antagonists medicine.drug |
| Zdroj: | Kaohsiung Journal of Medical Sciences, Vol 23, Iss 10, Pp 526-530 (2007) |
| Popis: | Insulinoma is the most common functional tumor among pancreatic islet cell tumors. This type of tumor is difficult to localize prior to surgery and can lead to serious hypoglycemia. This paper presents the case of a young female who suffered from insulinoma associated with transient hypothalamus-pituitary-adrenal axis impairment. To localize her insulinoma, we used two alternative testing methods, somatostatin receptor scintigraphy and selective arterial calcium stimulation with venous sampling, after a failure of conventional imaging methods. We treated her adrenal insufficiency and prevented serious hypoglycemia by giving her prednisolone. The impairment in her hypothalamus-pituitary-adrenal axis and her serious hypoglycemia recovered after excision of the tumor. |
| Databáze: | OpenAIRE |
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