PANCREATIC INSULINOMA PRESENTING WITH POSTPRANDIAL HYPOGLICEMIAS
Journal Title: Romanian Journal of Diabetes Nutrition and Metabolic Diseases - Year 2012, Vol 19, Issue 1
Abstract
We report the case of an obese 58 years old patient evaluated for hypoglycemia. The response to a prolonged fasting test was normal, but symptomatic hypoglycemia ensued after mixed meals and with oral glucose loading. A magnetic resonance scan of the abdomen revealed a pancreatic tail tumor, histologically diagnosed as benign insulinoma after successful laparotomy. „Glucose-responsive†insulinomas, although rare, have been previously described in the literature. Therefore, the diagnosis of insulinoma should also be considered in patients that exhibit postprandial rather than fasting hypoglycemia.
Authors and Affiliations
A. Florentiu, R. Barbu, M. Mitrache, N. Georgescu, E. Catrina, T. Patrascu, D. Degeratu
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