Insulinoma of Pancreatic Head Localized by Intra-Arterial Calcium Stimulation with Hepatic Venous Sampling

Hypoglycemia is a common medical emergency. Insulinoma, rare pancreatic endocrine tumour the most cause of hypoglycemia in patients without systemic illness. Most insulinomas are small, solitary and benign, which can be treated effectively by surgical removal tumour. Diagnosis based on clinical features, laboratory tests radiological investigation to localize However, small size this leads difficulty localization disease, especially occult insulinoma. Intra-arterial calcium stimulation with hepatic venous sampling utilised for preoperative We hereby present case 33-year-old woman presenting history recurrent hypoglycemic symptoms morbid obesity. A thorough history, examination including prolonged fasting test were conducted diagnosis insulinoma was made. carried out revealed at head.
 Bangladesh Journal Medical Science Vol.20(1) 2021 p.216-219