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Insulinoma: A Rare Cause of a Common Metabolic Disorder - Hypoglycaemia

By Omayma El Shafie, Dilip Sankhla, Nayil Al-Kindy, Aisha Al-Hamadani, Christopher Grant and Nicholas Woodhouse

Abstract

We describe the first patient diagnosed with an insulinoma in Oman and successfully managed with a distal laparoscopic pancreatectomy. The importance of obtaining a good history from the patient and/or his family is stressed. All patients with loss of consciousness must have a Reflow check carried out and, if hypoglycaemic, this should be documented in the laboratory and a simultaneous serum sample stored for measurement of insulin, C-peptide proinsulin and sulphonylurea levels, if subsequently indicated. If magnetic resonance imaging fails to locate the tumour, endoscopic ultrasound of the pancreas, or indium 111 labelled octreotide scanning is indicated if the patient’s hypoglycaemia has previously responded to treatment with octreotide

Topics: Case Report
Publisher: Sultan Qaboos University Medical Journal, College of Medicine & Health Sciences
OAI identifier: oai:pubmedcentral.nih.gov:3087741
Provided by: PubMed Central
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