Nesidioblastosis--a rare cause of hypoglycaemia in adults.
A case of suspected clinically hormonally active insulinoma in a 48-year-old woman is presented. Despite the lack of features, which might correspond to the insulinoma in radiological examinations, the patient was qualified for a distal subtotal pancreatectomy and then, due to persistent hyperinsulinism, for total pancreatectomy. The insulinoma was found neither in a palpable examination of the pancreas nor in the intraoperative ultrasonic examination. In a histopathological examination supplemented with immunohistochemical tests, nesidioblastosis - a rare cause of hypoglycaemia in adults - was diagnosed.
Department of Internal Medicine, Endocrinology and Hemostatic Disorders, Medical University of Gdansk, Poland. a.mail@wp.pl
A
A
Babińska
K
K
Jaśkiewicz
B
B
Karaszewski
M
M
Łukiański
K
K
Sworczak
D005260:Female; D006801:Humans; D006946:Hyperinsulinism / Q000473:pathology; D007003:Hypoglycemia / Q000209:etiology* / Q000473:pathology; D007150:Immunohistochemistry; D008875:Middle Aged; D046768:Nesidioblastosis / Q000097:blood / Q000175:diagnosis / Q000473:pathology*; D010180:Pancreatectomy