Endogenous hyperinsulinism secondary to insulinoma. A case report
DOI:
https://doi.org/10.32818/reccmi.a2n2a4Keywords:
insulinoma, endogenour hyperinsulinism, hypoglucemiaAbstract
A 61 year-old woman was referred to Endocrinology department for the study of dizziness episodes without the sensation of spinning objets, as well as nervousness, palpitations and tremors. All of which improved after intake of carbohydrates. After a clinical suspicion of hypoglycemia and the complementary tests were performed, the patient was diagnosed with endogenous hyperinsulinism. The possibility of factitious hypoglycemias was dismissed. An endoscopic ultrasonography was performed, through which a pancreatic insulinoma was diagnosed that was non-visible on computed tomography. Finally, an enucleation of the lesion was performed, after which the clinical symptomatology was resolved. The patient remains asymptomatic at the present time.
Downloads
Metrics
References
Cryer P, Axelrod L, Grossman A. Evaluation and management of adult hypoglycemic disorders: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2009; 94: 709-28.
Palomares R, Zurera L, Gálvez MA, Tofe S, Canis M, Benito P. Utilidad de la arteriografía con inyección intraarterial selectiva de calcio en el diagnóstico del insulinoma. Med Clin (Barc). 2002; 119: 568-70.
Diéguez M, Riestra M, Menéndez E. Insulinoma: criterios diagnósticos y tratamiento. Av Diabetol. 2009; 25: 293-9.
Kimberly A, Placzkowsky K, Vella A. Secular trends in the presentation and management of functioning insulinoma at the Mayo Clinic, 1987-2007. J Clin Endocrinol Metab. 2009; 94: 1069-1073.
Dizon AM, Kowalyk S, Hoogwerf BJ. Neuroglycopenic and other symptoms in patients with insulinomas. Am J Med. 1999; 106: 307-10.
Guettier JM, Kam A, Chang R, Skarulis MC, Cochran C, Alexander HR. Localization of insulinomas to regions of the pancreas by intraarterial calcium stimulation: the NIH Experience. J Clin Endocrinol Metab. 2009; 94: 1074-80.
Bassam A, Joe B. Occult sporadic insulinoma. Localization and surgical strategy. World J Gastroenterol. 2008; 14: 657-665.
Kauhanen S, Seppänen M, Minn H, Gullichsen R, Salonen A, Alanen K. Fluorine-18-L-dihydroxyphenylalanine (18F-DOPA) positron emission tomography as a tool to localize an insulinoma or ß-cell hyperplasia in adult patients. J Clin Endocrinol Metab. 2009; 92: 1237-44.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2017 Sandra Herranz-Antolín, Alberto Serrano-Martínez, Visitación Álvarez-de Frutos, Antonio Candia-Fernández
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Permite compartir, copiar y redistribuir el material en cualquier medio o formato, bajo los siguientes términos:
Reconocimiento: debe otorgar el crédito correspondiente, proporcionar un enlace a la licencia e indicar si se realizaron cambios. Puede hacerlo de cualquier manera razonable, pero no de ninguna manera que sugiera que el licenciante lo respalda a usted o su uso.
No comercial: no puede utilizar el material con fines comerciales.
No Derivados: si remezcla, transforma o construye sobre el material, no puede distribuir el material modificado.
Sin restricciones adicionales: no puede aplicar términos legales o medidas tecnológicas que restrinjan legalmente a otros de hacer cualquier cosa que permita la licencia.
