Diagnosis of islet cell tumor by means of endoscopic ultrasonography.
A 31-year-old man with recurrent attacks of hypoglycemia was hospitalized with the clinical suspicion of an insulinoma. Computed tomography and conventional (transabdominal) ultrasound were doubtful, showing a small solid low-density mass probably originating from the tail of the pancreas. Selective angiography and transhepatic venous sampling for pancreatic hormone assay were not discriminant. Finally, an endoscopic ultrasonographic examination, allowing a better visualization of the pancreas, established with certainty the origin of the lesion from the tail of the gland. This was subsequently confirmed at operation.
Bolondi
L
L
Istituto di Clinica Medica e Gastroenterologia, University of Bologna, Italy.
Li Bassi
S
S
Gaiani
S
S
Campione
O
O
Marrano
D
D
Barbara
L
L
D007516:Adenoma, Islet Cell / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D004724:Endoscopy; D006801:Humans; D007003:Hypoglycemia / Q000150:complications; D008297:Male; D010190:Pancreatic Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014463:Ultrasonography / Q000379:methods*