Case Report November 16.indd
نویسندگان
چکیده
Kirbylee K. Nelson, MD1 Asif M. Lakha, MD2 Cynthia L. Harris, MD, FASGE3 1Department of Internal Medicine, University of South Florida Morsani College of Medicine 2Department of Endoscopic Oncology, University of South Florida Morsani College of Medicine 3Department of Endoscopic Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL Acknowledgements: Mokenge P. Malafa, MD and Barbara A. Centeno, MD An 81-year-old female presented with symptomatic and persistent hypoglycemia despite administration of intravenous (IV) glucose. Laboratory testing after a prolonged fast revealed elevated pro-insulin, insulin and c-peptide levels, consistent with insulinoma. Helical computed tomography (CT) showed a hyperdense lesion in the body of the pancreas, which was redemonstrated on linear-array endoscopic ultrasound (EUS). Cytology obtained by EUS-guided fine needle aspiration (FNA) was consistent with a pancreatic epithelial neoplasm. Due to poor surgical candidacy, she underwent EUS-guided alcohol ablation with subsequent normalization of serum insulin. To our knowledge, this is the first case of alcohol ablation of a solitary insulinoma performed in a single treatment session with no complications reported in the United States.
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