Locating an insulinoma by surgical exploration

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Locating an insulinoma by surgical exploration.

The case of a 79-year old man who was suspected to have an insulinoma is presented. Although clinically and biochemically an insulinoma was the most probable diagnosis there was no supportive radiological evidence. Open surgery and exploration revealed a lesion which was confirmed to be an insulinoma. The patient's hypoglycaemia improved immediately following surgery. In the Sri Lankan setting ...

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Paroxysmal Hypertension Induced by an Insulinoma

Insulinoma is a rare, usually benign, pancreatic neuroendocrine tumor. The clinical features of an insulinoma are fasting hypoglycemia with neuroglycopenic symptoms including confusion and unusual behavior, while hypertension is usually not associated with the disease. We herein report a patient with insulinoma who manifested paroxysmal hypertension and neuroglycopenic symptoms. The possible et...

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Clearance of acanthosis nigricans associated with insulinoma following surgical resection.

Acanthosis nigricans is said to be a marker of insulin resistance. It is known to occur in patients with insulinoma where there is marked hyperinsulinaemia. We report a case wherein the acanthosis disappeared following surgical resection of insulinoma and this strengthens the hypothesis that hyperinsulinaemia is responsible for acanthosis.

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Acanthosis nigricans in insulinoma: before and after successful surgical enucleation.

To cite: Patra S, Chakraborty PP, Barman H, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016218003 DESCRIPTION A 14-year-old girl without diabetes presented with recurrent attacks of generalised tonic–clonic seizures for the past 3 years which had partially been controlled with phenytoin and not with sodium valproate or levetiracetam. A detailed history...

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Insulinoma: Diagnosis and surgical treatment. Retrospective analysis of 31 cases.

BACKGROUND Insulinomas are rare tumors that are usually benign, single and curable by simple surgical excision. They can present problems in diagnosis and localization. STUDY DESIGN Retrospective analysis of patients with insulinoma managed during a 13-year period (1992-2005) at a tertiary-level institution. RESULTS 31 patients (mean age 38.4 [SD 13.3] years; 16 men) presented with hypoglyc...

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ژورنال

عنوان ژورنال: Ceylon Medical Journal

سال: 2011

ISSN: 2386-1274,0009-0875

DOI: 10.4038/cmj.v49i3.3247