title: [Double localization of pancreatic insulinoma. Diagnostic and therapeutic difficulties].
abstract: Insulinomas are the most common cause of hypoglycemia resulting from endogenous hyperinsulinism. Because most of insulinomas are less than 2 cm in size and rarely they not may be visible by CT scan or transabdominal ultrasonography. Intraoperative ultrasonography may be a solution. Although as surgical method is preferred enucleation because operative time is shorter and easier and the low frequency postoperative complications, pancreaticoduodenectomy Whipple is indicated in selected cases. We report a case of double insulinoma located in the head of the pancreas in which the diagnosis and surgical treatment presented difficulties which determined a particular clinical evolution.
authors.affiliation: Centrul de Chirurgie si Transplant Hepatic al I.C. Fundeni, Bucureşti.
authors.forename: C D
authors.initials: CD
authors.lastname: Ungureanu
authors.forename: L
authors.initials: L
authors.lastname: David
authors.forename: V
authors.initials: V
authors.lastname: Braşoveanu
authors.forename: V
authors.initials: V
authors.lastname: Herlea
authors.forename: M
authors.initials: M
authors.lastname: Coculescu
authors.forename: I
authors.initials: I
authors.lastname: Popescu
mesh_terms: D005260:Female; D006801:Humans; D007340:Insulinoma / Q000175:diagnosis* / Q000601:surgery*; D007430:Intraoperative Care; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D012086:Reoperation; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional