Patient with neuropsychiatric symptoms and insulinoma of difficult preoperative localization

• Main Authors: Angélica Marìa Gonzàlez Clavijo, Luis Felipe Fierro Maya
• Format: Article
• Language: English
• Published: Universidad Nacional de Colombia 2014-10-01
• Series: Revista de la Facultad de Medicina
• Subjects: Insulinoma; síntomas neuropsiquiátricos. Arteriografía selectiva de vasos pancreáticos y estimulación con calcio
• Online Access: https://revistas.unal.edu.co/index.php/revfacmed/article/view/44498

This paper describes the case of a patient with neuropsychiatric symptoms who was diagnosed with hyperinsulinemic hypoglycemia with high suspicion of insulinoma, even after conventional diagnostic imaging was unable to locate it. A selective angiography of the pancreatic arteries and a calcium stimulation test were conducted to determine its location. The patient underwent a distal pancreatectomy using an intraoperative ultrasound, resulting in the disappearance of her symptoms.