#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Insulinoma as a cause of severe hypoglycemia in a patient with neurological symptoms


Authors: Caisová V.;  Horný I.
Published in: Gastroent Hepatol 2019; 73(4): 333-335
Category: Clinical and Experimental Gastroenterology: Case Report
doi: https://doi.org/10.14735/amgh2019333

Overview

The authors present the case of a patient who originally presented to a stroke center with neurological symptoms and was suspected of having a stroke, but in whom severe hypoglycemia was subsequently detected. After further examinations, a neuroendocrine tumor (NET) was diagnosed at the transition of the pancreatic head and body, which was subsequently surgically resolved by enucleation. Basic information about NETs, especially pancreatic tumors, examination methods, and diagnostic and therapeutic approaches for insulinoma, are described.

Submitted: 3. 6. 2019

Accepted: 23. 7. 2019

Conflict of Interest: The authors declare that the article/manuscript complies with ethical standards, patient anonymity has been respected, and they state that they have no financial, advisory or other commercial interests in relation to the subject matter.

Publication Ethics: This article/manuscript has not been published or is currently being submitted for another review.

The authors agree to publish their name and e-mail in the published article/manuscript.

Dedication: The article/manuscript is not supported by a grant nor has it been created with the support of any company.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Keywords:

endoscopy – Pancreas – neuroendocrine tumors – insulinoma – surgery


Sources

1. Bednaříková M. Neuroendokrinní tumory 2009. [online]. Dostupné z: https: //adoc.tips/7-neuroendokrinni-tumory32a1ca45980468fa5e61cd64d9ef408165813.html.

2. Chan Ang J, Kulke M. Metastatic well-differentiated gastroenteropancreatic neuroendocrine tumors: presentation, prognosis, imaging, and biochemical monitoring 2017. [online]. Available from: https: //www.uptodate.com/contents/metastatic-well-dif-ferentiated-gastroenteropancreatic-neuro-endocrine-tumors-presentation-prognosis-imaging-and-biochemical-monitoring? sectionName=CLINICAL%20PRESENTATION& search=NET&topicRef=2622&anchor=H2&source=see_link#H2.

3. Strosberg RJ. Classification, epidemiology, clinical presentation, localization, and staging of pancreatic neuroendocrine neoplasms 2019. [online]. Available from: https: //www.uptodate.com/contents/classification-epidemiology-clinical-presentation-localization-and-staging-of-pancreatic-neuroendocrine-neoplasms?search=pancreatic%20neuroendocrine%20tumor& source=search_result&selectedTitle=1~120& usage_type=default&display_rank=1.

4. Arnold A. Multiple endocrine neoplasia type 1. treatment 2019. [online]. Available from: https: //www.uptodate.com/contents/ multiple-endocrine-neoplasia-type-1-treat-ment?search=insulinoma&source=search_result&selectedTitle=8~52&usage_type=default&display_rank=8.

5. Kala Z, Hlavsa J, Procházka V et al. Neuroendokrinní nádory pankreatu – pohled chirurga. Onkologie 2010; 4 (6): 344–348. [online]. Dostupné z: https: //www.onkologiecs.cz/pdfs/xon/2010/06/06.pdf.

6. Service FJ, Vella A. Insulinoma 2019. [online]. Available from: https://www.uptodate.com/contents/insulinoma?sectionName=
TUMOR%20LOCALIZATION&search=pancreatic%20neuroendocrine%20tumor&topicRef=2612&anchor=H13&source=see_link#H13.

7. Service FJ, Vella A. Hypoglycemia in adults without diabetes mellitus: diagnostic approach 2018. [online]. Available from: https: //www.uptodate.com/contents/hypoglycemia-in-adults-without-diabetes-mellitus-diagnostic-approach? search=hypoglycemia%20adult&source= search_result&selectedTitle=1~150&usage_ type=default&display_rank=1.

8. Lata J, Bureš J, Vaňásek T et al. Gastroenterologie 1. vyd. Praha: Galén 2010: 247.

9. Šachlová M. Neuroendokrinní nádory v gastroenterologické praxi. Gastroent Hepatol 2016; 70 (3): 220–225. doi: 10.14735/amgh2016csgh.info04.

10. Koreň M, Kiňová S. Inzulinóm – diagnostika a manažment. Onkológia 2017; 12 (5): 340–343.

11. Lee J, Allendorf J, Chabot J. Surgical resection of Sporady pancretaic neuroendocrine tumors 2018. [online]. Available from: https: // www.uptodate.com/contents/surgical-resec-tion-of-sporadic-pancreatic-neuroendocrine-tumors?search=surgery%20insulinoma&source=search_result&selectedTitle=3~150&usage_type=default&display_rank=3.

Labels
Paediatric gastroenterology Gastroenterology and hepatology Surgery

Article was published in

Gastroenterology and Hepatology

Issue 4

2019 Issue 4

Most read in this issue
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#