Sporadic Insulinoma In A 16-Yr-old Girl: A Rare Case Report and Review of Literature
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Insulinoma is rare pancreatic islet cell neuroendocrine tumor typically sporadic, solitary and benign. We report the case of sporadic insulinoma in 16-year-old girl who presented with chief complaints of loss of consciousness episode daily since 7 month associated with palpitation, tremors, and diaphoresis. Clinical examination and laboratory investigation suggestive of pancreatic insulinoma, then patient admitted for further workup. A fasting test of 48-hour was done and ceased within 3 hours due to occurrence of hypoglycemic symptoms. During the episode, blood was drawn and results showed low blood glucose level and high insulin, pro-insulin and C-peptide levels. The hypoglycemic symptoms were relieved by glucose administration and Whipple’s triad for insulinoma was achieved. Triple phase computed tomography scan whole abdomen showed mass lesion with of approx. 13×12 mm noted in neck of pancreas. Fat planes with adjacent structures maintained. Patient underwent laparoscopic enucleation of pancreatic tumor. Histopathological and immuno-histochemical examination of the pancreatic mass has confirmed neuroendocrine tumor (insulinoma). A post-operative 6-month follow-up showed resolution of hypoglycemic symptoms, normalized blood glucose, insulin, pro-insulin and C-peptide levels, and no evidence of recurrence.
Authors and Affiliations
Vikram Singh Sodha, Bhanu Kaushik, Shalu Gupta, Narendra Kumar, Bhanwar Lal Yadav
Keywords
Related Articles
- EP ID EP239186
- DOI 10.9790/0853-1610018587
- Views 118
- Downloads 0
A Novel Hybrid Structure of Denoising for ECG-TDM Signals using Wavelet Packet Decomposition
Multiplexing of signals enables the usage of same channel for multiple signals at the same time. Among multiplexing schemes, Time division multiplexing is one of the fundamental and basic multiplexing scheme. TDM was uti...
Prevalence of Cytomegalovirus Infection during Pregnancy in Tertiary Care Hospital East Delhi 8 Years Study.
Cytomegalovirus (CMV) infection in pregnancy is too common occurring primarily as well as recurrently due to reactivation of latent infection. The primary CMV infection during pregnancy is associated with numerous compli...
An Analytical Study on the Clinicopathological Features of 209 Cases of Meningiomas Operated At A Tertiary Care Institute.
Meningiomas are one of the most important and common tumours of the central nervous system. They comprises of about 25 to 30% of the primary tumours of CNS. They occur more commonly in females with increased occurrence i...
Surgical Management Of Symptomatic Molars Due To Overfilled Gutta Percha: A Case Series
The Presence Of Foreign Material In Large Quantities In The Periapical Tissues Causes Persistence Of Breakdown Products And That Persistence Is Fueled By The Toxicity Of The Engulfed Material.Root Canal Failure Following...
Componeer : Esthetic correction with Minimal Interventional approach
Cosmetic dentistry is generally used to refer to any dental work that improves the appearance (though not necessarily the functionality) of teeth, gums and/or bite. It primarily focuses on improving dental aesthetics in...