Title of article
Insulinoma: A Rare Cause of a Common Metabolic Disorder - Hypoglycaemia
Author/Authors
El Shafie, Omayma Sultan Qaboos University - College of Medicine Health Sciences - Departments of Medicine, Oman , Sankhla, Dilip Sultan Qaboos University - College of Medicine Health Sciences - Department of Radiology and Molecular Imaging, Oman , Al-Kindy, Nayil Sultan Qaboos University - College of Medicine Health Sciences - Department of Surgery, Oman , Al-Hamadani, Aisha Sultan Qaboos University - College of Medicine Health Sciences - Department of Pathology, Oman , Grant, Christopher Sultan Qaboos University - College of Medicine Health Sciences - Department of Pathology, Oman , Woodhouse, Nicholas Sultan Qaboos University - College of Medicine Health Sciences - Department of Pathology, Oman
From page
63
To page
67
Abstract
We describe the first patient diagnosed with an insulinoma in Oman and successfully managed with a distal laparoscopicpancreatectomy. The importance of obtaining a good history from the patient and/or his family is stressed. All patients with loss ofconsciousness must have a Reflow check carried out and, if hypoglycaemic, this should be documented in the laboratory and a simultaneousserum 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 octreotidescanning is indicated if the patient¡¦s hypoglycaemia has previously responded to treatment with octreotide.
Keywords
Insulinoma , C , peptide , Hypoglycaemia , Laparoscopy , Pancreatectomy
Journal title
Sultan Qaboos University Medical Journal (SQUMJ)
Journal title
Sultan Qaboos University Medical Journal (SQUMJ)
Record number
2690428
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