Diagnosis of insulinoma in a patient with hypoglycemia without obvious hyperinsulinemia.
BACKGROUND: A 41-year-old Maltese woman with a 12-month history of severe, morning episodes of confusion, blurred vision and sweating was referred to a specialist center for evaluation of fasting hypoglycemia. She was not taking medication and did not report any prior personal or familial history o...
| Main Authors: | , , |
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| Format: | Journal article |
| Language: | English |
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2009
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| _version_ | 1826270124275924992 |
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| author | Coelho, C Druce, MR Grossman, AB |
| author_facet | Coelho, C Druce, MR Grossman, AB |
| author_sort | Coelho, C |
| collection | OXFORD |
| description | BACKGROUND: A 41-year-old Maltese woman with a 12-month history of severe, morning episodes of confusion, blurred vision and sweating was referred to a specialist center for evaluation of fasting hypoglycemia. She was not taking medication and did not report any prior personal or familial history of endocrinopathy or other relevant pathology. INVESTIGATIONS: Measurement of plasma glucose, insulin, C-peptide, and beta-hydroxybutyrate concentrations during a prolonged supervised fast; sulfonylurea screen; CT, MRI scan and endoscopic ultrasonography of the pancreas; calcium stimulation test; surgical exploration and intra-operative ultrasonography of the pancreas. DIAGNOSIS: Insulin-secreting lesion (insulinoma) in the tail of the pancreas. MANAGEMENT: The tumor was resected with cure of symptoms. |
| first_indexed | 2024-03-06T21:35:56Z |
| format | Journal article |
| id | oxford-uuid:46450364-d17d-4146-ad26-ffd26cb85c17 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T21:35:56Z |
| publishDate | 2009 |
| record_format | dspace |
| spelling | oxford-uuid:46450364-d17d-4146-ad26-ffd26cb85c172022-03-26T15:12:42ZDiagnosis of insulinoma in a patient with hypoglycemia without obvious hyperinsulinemia.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:46450364-d17d-4146-ad26-ffd26cb85c17EnglishSymplectic Elements at Oxford2009Coelho, CDruce, MRGrossman, AB BACKGROUND: A 41-year-old Maltese woman with a 12-month history of severe, morning episodes of confusion, blurred vision and sweating was referred to a specialist center for evaluation of fasting hypoglycemia. She was not taking medication and did not report any prior personal or familial history of endocrinopathy or other relevant pathology. INVESTIGATIONS: Measurement of plasma glucose, insulin, C-peptide, and beta-hydroxybutyrate concentrations during a prolonged supervised fast; sulfonylurea screen; CT, MRI scan and endoscopic ultrasonography of the pancreas; calcium stimulation test; surgical exploration and intra-operative ultrasonography of the pancreas. DIAGNOSIS: Insulin-secreting lesion (insulinoma) in the tail of the pancreas. MANAGEMENT: The tumor was resected with cure of symptoms. |
| spellingShingle | Coelho, C Druce, MR Grossman, AB Diagnosis of insulinoma in a patient with hypoglycemia without obvious hyperinsulinemia. |
| title | Diagnosis of insulinoma in a patient with hypoglycemia without obvious hyperinsulinemia. |
| title_full | Diagnosis of insulinoma in a patient with hypoglycemia without obvious hyperinsulinemia. |
| title_fullStr | Diagnosis of insulinoma in a patient with hypoglycemia without obvious hyperinsulinemia. |
| title_full_unstemmed | Diagnosis of insulinoma in a patient with hypoglycemia without obvious hyperinsulinemia. |
| title_short | Diagnosis of insulinoma in a patient with hypoglycemia without obvious hyperinsulinemia. |
| title_sort | diagnosis of insulinoma in a patient with hypoglycemia without obvious hyperinsulinemia |
| work_keys_str_mv | AT coelhoc diagnosisofinsulinomainapatientwithhypoglycemiawithoutobvioushyperinsulinemia AT drucemr diagnosisofinsulinomainapatientwithhypoglycemiawithoutobvioushyperinsulinemia AT grossmanab diagnosisofinsulinomainapatientwithhypoglycemiawithoutobvioushyperinsulinemia |