Pancreatic insulinoma causing hypoglycemic episodes
| Autor: | Soliman Binyahib, Bassel A Almehman, Safi Nassan, Moaffaq Mahdi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pancreatic Insulinoma
medicine.medical_specialty endocrine system endocrine system diseases Pediatric laparoscopy Enucleation lcsh:Surgery Hypoglycemia Lesion 03 medical and health sciences 0302 clinical medicine Hyperinsulinism medicine MEN1 Multiple endocrine neoplasia Insulinoma business.industry lcsh:RJ1-570 lcsh:Pediatrics lcsh:RD1-811 medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health 030211 gastroenterology & hepatology medicine.symptom business Pancreas |
| Zdroj: | Journal of Pediatric Surgery Case Reports, Vol 57, Iss, Pp-(2020) |
| ISSN: | 2213-5766 |
| Popis: | Background Insulinoma typically has non-specific neuroglycopenic symptoms. It is a neuroendocrine tumor of the pancreas, and leads to recurring hypoglycemic attacks stemming from insulin hypersecretion. Purpose We report the case of an 8-year-old boy who was diagnosed with insulinoma following referral to our hospital for recurrent hypoglycemic attacks. Results Abdominal computed tomography scan revealed a lesion at the tail of the pancreas. He tested negative for MEN1 (multiple endocrine neoplasia type 1) syndrome. We performed laparoscopic enucleation of the tumor, and he was discharged home 3 days post-operation with normal blood sugar levels. Five years on, there has been no recurrence of hypoglycemic attacks. Conclusion Insulinoma is one of the important causes of hypoglycemia in a pediatric age group. Surgery is the mainstay of treatment of insulinoma. Pre-operative localization can be achieved mostly by a single modality, or otherwise multiple modalities in other cases. Minimally invasive enucleation of insulinoma in a pediatric age group is safe and feasible for selective cases, which can preserve normal pancreatic tissue without increasing postoperative complications. |
| Databáze: | OpenAIRE |
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