A case report on a protracted course of a hidden insulinoma.

ABSTRACT:

Introduction

Insulinoma is a functioning pancreatic neuroendocrine tumor primarily leading due to hypoglycemia due to hypersecretion of insulin. This case illustrates the real challenges faced in the detection of an occult insulinoma, which resulted in a protracted course of the disease.

Case presentation

A 33-year-old female presented with recurrent hypoglycemia. Endogenous hyperinsulinemia was confirmed by a prolonged fast, however serial imaging was negative. Incidental finding of an ovarian mass gave rise to the suspicion of an insulin-producing ovarian tumor. Subsequent multimodality pancreatic imaging remained negative, requiring more invasive investigations. The tumor was localized by specialized arteriography using calcium stimulation to support the diagnosis of an i

SUBMITTER: Mohamed Shah FZ 

PROVIDER: S-EPMC8040123 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature