Abstract:
BACKGROUND:Both ectopic pancreatic tissue and malignant insulinoma are rare. We encountered the combination of these rare entities in a patient demonstrating hypoglycemic symptoms. METHOD:A patient with episodic hypoglycemia, non-suppressed serum insulin levels, positive fasting test and a positive localization on both ultrasound and somatostatin receptor scintigraphy by (111)I-labelled octreotide, was operated and investigated. RESULTS:(111)I-labelled octreotide-guided surgery was performed and a tumor adjacent to the ligament of Treitz was extirpated. Follow-up was uneventful. Histopathology revealed a malignant insulinoma. The patient is currently under close surveillance. CONCLUSION:The rare combination of an insulinoma in ectopic pancreatic tissue, where the usual diagnostic endoscopic ultrasound revealed an extrapancreatic mass, is described. This was followed by a positive somatostatin receptor scintigraphy, enabling both radio-guided surgery and future treatment of developing recurrent disease or metastases.
journal_name
Dig Surgjournal_title
Digestive surgeryauthors
Hennings J,Garske U,Botling J,Hellman Pdoi
10.1159/000090998subject
Has Abstractpub_date
2005-01-01 00:00:00pages
377-9issue
5eissn
0253-4886issn
1421-9883pii
90998journal_volume
22pub_type
杂志文章abstract::Anastomotic leakage after colorectal surgery is correlated with considerable morbidity and mortality. Although many studies focus on risk factors and detection, studies on the treatment strategy for colorectal anastomotic leakage are scarce. A national questionnaire amongst 350 members of the Dutch Society for Gastroi...
journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000346348
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journal_title:Digestive surgery
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更新日期:2001-01-01 00:00:00
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journal_title:Digestive surgery
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journal_title:Digestive surgery
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journal_title:Digestive surgery
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journal_title:Digestive surgery
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journal_title:Digestive surgery
pub_type: 杂志文章
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journal_title:Digestive surgery
pub_type: 杂志文章
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000107717
更新日期:2007-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2008-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
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journal_title:Digestive surgery
pub_type: 杂志文章
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pub_type: 杂志文章,评审
doi:10.1159/000088053
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journal_title:Digestive surgery
pub_type: 杂志文章,评审
doi:10.1159/000103656
更新日期:2007-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章,评审
doi:10.1159/000068855
更新日期:2003-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章,多中心研究
doi:10.1159/000458714
更新日期:2018-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000071760
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journal_title:Digestive surgery
pub_type: 杂志文章
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journal_title:Digestive surgery
pub_type: 杂志文章
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journal_title:Digestive surgery
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doi:10.1159/000068861
更新日期:2003-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000080886
更新日期:2004-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章,评审
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更新日期:2012-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000018612
更新日期:1998-01-01 00:00:00
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journal_title:Digestive surgery
pub_type: 杂志文章
doi:10.1159/000064211
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更新日期:2020-01-01 00:00:00