Insulinoma of Pancreatic Head Localized by Intra-Arterial Calcium Stimulation with Hepatic Venous Sampling

Authors

  • Siong Hu Wong Department of Chemical Pathology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. and Hospital Universiti Sains Malaysia, Health Campus, USM, 16150, Kubang Kerian, Kelantan, Malaysia
  • Julia Omar Department of Chemical Pathology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. and Hospital Universiti Sains Malaysia, Health Campus, USM, 16150, Kubang Kerian, Kelantan, Malaysia
  • Noor Azlin Azraini Che Soh Yusof Department of Chemical Pathology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. and Hospital Universiti Sains Malaysia, Health Campus, USM, 16150, Kubang Kerian, Kelantan, Malaysia

DOI:

https://doi.org/10.3329/bjms.v20i1.50376

Keywords:

Insulinoma; preoperative localization; intra-arterial calcium stimulation with hepatic venous sampling

Abstract

Hypoglycemia is a common medical emergency. Insulinoma, a rare pancreatic endocrine tumour is the most common cause of hypoglycemia in patients without systemic illness. Most insulinomas are small, solitary and benign, which can be treated effectively by surgical removal of the tumour. Diagnosis is based on clinical features, laboratory tests and radiological investigation to localize the tumour. However, small size of this tumour leads to difficulty in localization of the disease, especially in occult insulinoma. Intra-arterial calcium stimulation with hepatic venous sampling can be utilised for preoperative localization of the tumour. We hereby present a case of a 33-year-old woman presenting with history of recurrent hypoglycemic symptoms and morbid obesity. A thorough history, clinical examination and laboratory investigation including prolonged fasting test were conducted and diagnosis of insulinoma was made. Intra-arterial calcium stimulation with hepatic venous sampling was carried out and revealed localization of insulinoma at pancreatic head.

Bangladesh Journal of Medical Science Vol.20(1) 2021 p.216-219

Downloads

Download data is not yet available.
Abstract
9
PDF
29

Downloads

Published

2021-01-01

How to Cite

Wong, S. H., Omar, J., & Yusof, N. A. A. C. S. (2021). Insulinoma of Pancreatic Head Localized by Intra-Arterial Calcium Stimulation with Hepatic Venous Sampling. Bangladesh Journal of Medical Science, 20(1), 216–219. https://doi.org/10.3329/bjms.v20i1.50376

Issue

Vol. 20 No. 1 (2021)

Section

Letter to Editor

License

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.