Metastatic Insulinoma in a Patient with Type 2 Diabetes Mellitus: Case Report and Review of the Literature

Pancreatic neuroendocrine tumors (NETs) are extremely rare, and although insulinomas are the commonest, less than 10% of insulinomas are malignant. Most patients with insulinomas present with neuroglycopenic symptoms and weight gain attributable to insulin excess. Here, we report a case where a 67-year-old lady with a background history of type 2 diabetes mellitus and breakthrough hyperinsulinism who presented with coma. The biochemical profile revealed features typical of insulinoma, and CT and endosonography confirmed a pancreatic tumor with large volume right-sided liver metastases (biopsy confirming a neuroendocrine tumor). The patient underwent successful one-step RO surgical resection, distal pancreatectomy, splenectomy, and right hepatectomy, and 9 months postoperatively, she remains free of recurrent disease. She remains a diabetic

Midgut pain due to an intussuscepting terminal ileal lipoma: a case report

<p>Abstract</p> <p>Introduction</p> <p>The occurrence of intussusception in adults is rare. The condition is found in 1 in 1300 abdominal operations and 1 in 100 patients operated for intestinal obstruction. The child to adult ratio is 20:1.</p> <p>Case presentation</p> <p>A 52-year-old Irish Caucasian woman was investigated for a 3-month history of intermittent episodes of colicky midgut pain and associated constipation. Ileocolonoscopy revealed a pedunculated lesion in the terminal ileum prolapsing into the caecum. Computed tomography confirmed a smooth-walled, nonobstructing, low density intramural lesion in the terminal ileum with secondary intussusception. A laparoscopic small bowel resection was performed. Histology revealed a large pedunculated polypoidal mass measuring 4 × 2.5 × 2 cm consistent with a submucosal lipoma. She had complete resolution of her symptoms and remained well at 12-month follow-up.</p> <p>Conclusion</p> <p>This case highlights an unusual cause of incomplete small bowel obstruction successfully treated through interdisciplinary cooperation. Ileal lipomas are not typically amenable to endoscopic removal and require resection. This can be successfully achieved via a laparoscopic approach with early restoration of premorbid functioning.</p

Yoga for Mental Health

As society has become more advanced an emphasis on mental health and physical health has been seen. Yoga has been the subject of research for many decades but now has been seen as a therapeutic purpose for many diseases like mental stress, anxiety, depression and even heart disease. Yoga is an ancient practice originated in India to the point of around 3000 BCE which was started as a way for spiritual development amongst the Brahmans to train the body and mind, to self-observe, and become aware of their own nature. Yoga involves using one’s limbs and own breath to reach the point of self-realization. This project draws on a multitude of published medical literature and accounts of practitioners to assess the impact of yoga practice on conditions such as anxiety and depression. Yoga can act as a holistic way of life leading to a state of healing in a physical, social, mental and spiritual wellbeing to alleviate symptoms of anxiety and depression

Yoga for Mental Health

As society has become more advanced an emphasis on mental health and physical health has been seen. Yoga has been the subject of research for many decades but now has been seen as a therapeutic purpose for many diseases like mental stress, anxiety, depression and even heart disease. Yoga is an ancient practice originated in India to the point of around 3000 BCE which was started as a way for spiritual development amongst the Brahmans to train the body and mind, to self-observe, and become aware of their own nature. Yoga involves using one’s limbs and own breath to reach the point of self-realization. This project draws on a multitude of published medical literature and accounts of practitioners to assess the impact of yoga practice on conditions such as anxiety and depression. Yoga can act as a holistic way of life leading to a state of healing in a physical, social, mental and spiritual wellbeing to alleviate symptoms of anxiety and depression