World Journal of Endocrine Surgery

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VOLUME 1 , ISSUE 1 ( September-December, 2009 ) > List of Articles

CASE REPORT

Multiple Insulinomas, a Rare Clinical Problem, Possible Case of Occult MEN I

R Fernando, DMSM Bandara, S Sancheav, MDS Renuka

Citation Information : Fernando R, Bandara D, Sancheav S, Renuka M. Multiple Insulinomas, a Rare Clinical Problem, Possible Case of Occult MEN I. World J Endoc Surg 2009; 1 (1):47-48.

DOI: 10.5005/jp-journals-10002-1011

Published Online: 01-12-2009

Copyright Statement:  Copyright © 2009; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

A 22 years old under graduate with recurrent hypoglycemia was found to have an insulinoma after investigations. Diagnosis of insulinoma had been made by elevated C-peptide and insulin concentration with simultaneous hypoglycemia with blood glucose 35 mg/dl. Preoperative computed tomography localized a single tumor (7 mm x 7 mm x 7 mm) in the body of pancreas. On surgical exploration with intraoperative ultrasound localization a tumor was found in the body of pancreas and enucleated. Repeat intraoperative ultrasonography showed no residual disease, but palpation localized a second lesion in the body of pancreas and that was enucleated. Patient made a complete recovery. Screening for MEN I indicated that patient has several features of MEN I which remains occult at present. This case highlights a rare clinical problem of multiple insulinomas and also importance of intraoperative palpation.


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