A rare case of insulinoma complicating pregnancy: Anesheic concerns and review of literature
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 9
Abstract
Insulinoma is a rare tumor and the most common functional variety of neuroendocrine tumors of pancreas. Since symptoms like giddiness, palpitation, fatigue, loss of consciousness are part of early pregnancy, diagnosing insulinoma becomes difficult. Unexplained repeated attacks of fasting hypoglycaemia in an otherwise normal adult should raise the suspicion of insulinoma and trigger further investigation. Because of the bizarre nature of the presenting symptoms, many patients will present to neurologists or psychiatrists, and hence delay in early diagnosis or misdiagnosis which therefore results in delayed definitive treatment of these patients. Here we present a 28year primigravida who presented with history of CVT and repeated LOC associated with very low sugars<28mg/dl .she had still born baby at 28weeks .in our hospital provisional clinical diagnosis of insulinoma was made, further evaluated and successfully treated surgically postpartum. The purpose of this paper is to review existing literature dealing with this rare disorder and to equip anaesthetists with knowledge in regard to preoperative and intraoperative management of insulinoma.
Authors and Affiliations
Surekha G, Jithumol Thankam Thomas, Kshma Kilpadi, Surbhi Gupta
Keywords
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