Giant nonfunctioning islet cell tumor requiring pancreaticoduodenectomy and complete liver revascularization.
Pancreaticoduodenectomy with revascularization of the hepatic artery and portal vein was performed on a 17-year-old girl with giant nonfunctioning islet cell tumor of the pancreas. She had a remote history of neonatal hypoglycemia leading to mental retardation and a right Wilms' tumor resected at 8 months. Serum pancreatic polypeptide levels were elevated. Her postoperative course was complicated by an ischemic perforation of the colon, which did not infect her prosthetic vascular grafts. The relationship between her neonatal hypoglycemia, Wilms' tumor, and subsequent islet cell neoplasm is unclear.
Aszodi
A
A
Department of Surgery, Mt. Sinai Medical Center, Cleveland, Ohio 44106.
Leeming
R A
RA
Lash
R H
RH
Olsen
M M
MM
Ponsky
J L
JL
D007516:Adenoma, Islet Cell / Q000601:surgery*; D000293:Adolescent; D001807:Blood Vessel Prosthesis; D005260:Female; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D007223:Infant; D007680:Kidney Neoplasms / Q000601:surgery; D016609:Neoplasms, Second Primary / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D011138:Polytetrafluoroethylene; D011169:Portal Vein / Q000601:surgery*; D009396:Wilms Tumor / Q000601:surgery
D011138:Polytetrafluoroethylene