title: Visualization of the focus in congenital hyperinsulinism by intraoperative sonography.
abstract: In surgery for focal congenital hyperinsulinism (CHI), the identification and complete resection of the focus without collateral damage is of utmost importance. In a pilot study we applied intra-abdominal high-frequency sonography during surgery for focal CHI in 2 infants. The focus could be identified, its relation to the pancreatic and common bile duct could be shown, and the typical octopus-like tentacles could be demonstrated. In one case the resection was successful; in the other it was not. These preliminary results suggest that intraoperative sonography could be a valuable tool in the surgical therapy of focal CHI and warrants further evaluation in a clinical study.
authors.affiliation: Pediatric Radiology, O. v. Guericke University, Magdeburg, Germany. l.vonrohden@gmx.de
authors.forename: Ludwig
authors.initials: L
authors.lastname: von Rohden
authors.forename: Klaus
authors.initials: K
authors.lastname: Mohnike
authors.forename: Harald
authors.initials: H
authors.lastname: Mau
authors.forename: Traugott
authors.initials: T
authors.lastname: Eberhard
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Mohnike
authors.forename: Oliver
authors.initials: O
authors.lastname: Blankenstein
authors.forename: Susann
authors.initials: S
authors.lastname: Empting
authors.forename: Michael
authors.initials: M
authors.lastname: Koch
authors.forename: Frank
authors.initials: F
authors.lastname: Füchtner
authors.forename: Winfried
authors.initials: W
authors.lastname: Barthlen
mesh_terms: D016022:Case-Control Studies; D003135:Common Bile Duct / Q000000981:diagnostic imaging; D044903:Congenital Hyperinsulinism / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D010180:Pancreatectomy / Q000295:instrumentation*; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging; D010865:Pilot Projects; D018084:Ultrasonography, Interventional