Abstract:
:We report herein the cases of two women, aged 34 years and 39 years, respectively, found to have hyperinsulinemic hypoglycemia after presenting with a history of episodes of temporary loss of consciousness, nausea, and fainting. Under the suspected diagnosis of insulinoma, localization procedures were carried out, but no tumor was found. In both patients, a definite gradient in insulin concentration was found in the pancreas by percutaneous transhepatic or intraoperative portal venous sampling, and a misdiagnosis of insulinoma of the pancreatic body was made. During exploratory laparotomy no tumor was palpable in the pancreas, and intraoperative ultrasonography showed no low echoic mass in the pancreas. A distal pancreatectomy was performed in both patients, and histopathological examination of the resected specimens revealed graded slight hyperplasia of the islet cells.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Eriguchi N,Aoyagi S,Hara M,Tanaka E,Hashimoto M,Jimi Adoi
10.1007/BF02483064subject
Has Abstractpub_date
1999-01-01 00:00:00pages
361-3issue
4eissn
0941-1291issn
1436-2813pii
10.1007/BF02483064journal_volume
29pub_type
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