PANCREATIC INSULINOMA PRESENTING WITH POSTPRANDIAL HYPOGLICEMIAS

  • Ariel Florentiu
  • Roxana Barbu
  • Marilena Mitrache
  • R. Militaru
  • Nicolae Georgescu
  • Eduard Catrina
  • Traian Patrascu
  • Daniela Degeratu
  • Radu Lichiardopol
Keywords: insulinoma, hyperinsulinemic hypoglycemia, postprandial hypoglycemia

Abstract

We report the case of an obese 58 years old patient evaluated for hypoglycemia. The response to a prolonged fasting test was normal, but symptomatic hypoglycemia ensued after mixed meals and with oral glucose loading. A magnetic resonance scan of the abdomen revealed a pancreatic tail tumor, histologically diagnosed as benign insulinoma after successful laparotomy. „Glucose-responsive” insulinomas, although rare, have been previously described in the literature. Therefore, the diagnosis of insulinoma should also be considered in patients that exhibit postprandial rather than fasting hypoglycemia.

Published
2012-03-30
How to Cite
Florentiu, Ariel, Roxana Barbu, Marilena Mitrache, R. Militaru, Nicolae Georgescu, Eduard Catrina, Traian Patrascu, Daniela Degeratu, and Radu Lichiardopol. 2012. “PANCREATIC INSULINOMA PRESENTING WITH POSTPRANDIAL HYPOGLICEMIAS”. Romanian Journal of Diabetes Nutrition and Metabolic Diseases 19 (1), 99-103. https://rjdnmd.org/index.php/RJDNMD/article/view/298.
Section
Review Articles