Giant insulinoma: an unusual cause of hypoglycaemia.
نویسندگان
چکیده
to cite: Lakha E, Capuano E, Syed I, et al. BMJ Case Rep Published Online First: [please include Day Month Year]. doi:10.1136/bcr-2017221506 Foundation Training, Basildon and Thurrock University Hospitals NHS Foundation Trust, Basildon, UK Radiology, Basildon and Thurrock University Hospital NHS Foundation Trust, Basildon, UK Radiology, Basildon and Thurrock University Hospital NHS Foundation Trust, Basildon, UK Foundation Training, Whittington Hospital, London, UK
منابع مشابه
Diagnosis and management of hypoglycaemia due to pancreatic insulin-secreting neoplasia in a German shepherd dog
A 7-year-old castrated male German shepherd dog was presented with a 10-day history of intermittent lethargy, weakness and episodic seizures. Laboratory findings after admission revealed hypoglycaemia and hyperinsulinaemia. Provisional diagnosis of insulinoma was made based on the presence of concurrent hypoglycaemia and elevated insulin level. In exploratory laparotomy a small nodular mass was...
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A 25 year old woman suffering from recurrent attacks of hypoglycaemia underwent a laparotomy for suspected insulinoma. No tumour was found, but histology showed islet cell hyperplasia and nesidioblastosis. Although these changes have been reported as a cause of hypoglycaemia in infants, they are only rarely the cause of hypoglycaemia in adults; in the present case they were found to be the resu...
متن کاملInsulinoma in childhood.
Hypoglycaemia is an important cause of cerebral damage in childhood. While much attention has recently been directed to its detection and treatment in the neonatal period, in later childhood the diagnosis is often delayed. There are many possible causes of hypoglycaemia in childhood, but in only a minority of cases is a precise diagnosis made, the majority being labelled 'idiopathic'. An insuli...
متن کاملAn unusual case of concurrent insulinoma and nesidioblastosis.
CONTEXT Endogenous hyperinsulinaemic hypoglycaemia in adults is most commonly caused by an insulinoma. Adult nesidioblastosis is rarely reported. To the best of our knowledge the presence of both insulinoma and nesidioblastosis has not been reported before. CASE REPORT We report a case of a 35-year-old female presenting with neuroglycaemic symptoms. A supervised 72-hour fast confirmed hypogly...
متن کاملInsulinoma masquerading as carotid transient ischaemic attacks.
A patient who initially presented with classical internal carotid territory transient ischaemic attacks, on further investigations was found to have an insulinoma, the removal of which completely alleviated the symptoms. This appears to be an unusual form of presentation of a rare tumour. The possible mechanisms of focal neurological disturbances during hypoglycaemia are discussed.
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ورودعنوان ژورنال:
- BMJ case reports
دوره 2017 شماره
صفحات -
تاریخ انتشار 2017