Insulinoma Presenting with Psychiatric Manifestations: A Case Report

Authors

  • M Fariduddin Endocrine Wing, Department of Medicine, BSMMU, Dhaka
  • Sheikh Sharin Afroz Endocrine Wing, Department of Medicine, BSMMU, Dhaka
  • MA Hasanat Endocrine Wing, Department of Medicine, BSMMU, Dhaka
  • Naseem Akhter Chowdhury Endocrine Wing, Department of Medicine, BSMMU, Dhaka
  • Nusrat Sultana Endocrine Wing, Department of Medicine, BSMMU, Dhaka
  • Anirudha Ghose Chittagong General Hospital, Chittagong
  • M Abdus Sobhan Department of Psychiatry, BSMMU
  • Hafizur Rahman Chowdhury Department of Psychiatry, BSMMU
  • M Mohibul Aziz Department of Surgery, BSMMU, Dhaka

DOI:

https://doi.org/10.3329/bsmmuj.v2i1.3710

Keywords:

Insulinoma, Psychiatric Manifestation

Abstract

Insulinomas, the most common of pancreatic endocrine tumors, usually present with neuroglycopenic and adrenergic features. Chronic or long standing recurrent hypogycaemia can produce intellectual deterioration and neuropsychiatric manifestations. Diagnosis of insulinoma relies on clinical features along with laboratory tests and imaging investigations to aid in localization. A 32-year-old male who presented with prominent neuropsychiatric manifestations and received anti-epileptics as a case of epilepsy and was ultimately diagnosed as insulinoma is reported here. The patient experienced fasting hypoglycemia with neuropsychiatric manifestations; computerized tomography (CT scan) and magnetic resonance imaging (MRI) revealed a diffusely enhanced mass in the head area of pancreas which was histopathologically found to be an insulinoma after hand assisted laparoscopic enucleation. Surgical excision is the treatment of choice and is curative in most cases.

Key words: Insulinoma; Psychiatric Manifestation.

DOI: 10.3329/bsmmuj.v2i1.3710

BSMMU J 2009; 2(1): 39-41

Downloads

Download data is not yet available.
Abstract
839
PDF
660

Downloads

How to Cite

Fariduddin, M., Afroz, S. S., Hasanat, M., Chowdhury, N. A., Sultana, N., Ghose, A., Sobhan, M. A., Chowdhury, H. R., & Aziz, M. M. (2009). Insulinoma Presenting with Psychiatric Manifestations: A Case Report. Bangabandhu Sheikh Mujib Medical University Journal, 2(1), 39–41. https://doi.org/10.3329/bsmmuj.v2i1.3710

Issue

Section

Case Reports