title: Successful laparoscope resection of ectopic insulinoma in duodenohepatic ligament.
abstract: Both ectopic pancreas and insulinoma are rare. A 21-year-old male patient had suffered from hypoglycemia episodes for 3 years and was diagnosed to have insulinoma based on biochemical and endocrinological evaluations. Various localization approaches revealed a distinct tumor outside the pancreas. With intraoperative endoscopy, the tumor in duodenohepatic ligament was identified and successfully resected. Pathologic evaluation revealed an ectopic insulinoma with ectopic pancreas. Therefore, when the biochemically confirmed insulinoma could not be well-definitely localized, the possibility of ectopic insulinoma should be suspected. In addition, radiography examinations and operation exploration should extend to the field where ectopic pancreas usually presents.
authors.affiliation: Department of Endocrinology, Chinese PLA General Hospital, Beijing, China.
authors.forename: Wang
authors.initials: W
authors.lastname: Xian-Ling
authors.forename: Mu
authors.initials: M
authors.lastname: Yi-Ming
authors.forename: Dou
authors.initials: D
authors.lastname: Jing-Tao
authors.forename: Zhong
authors.initials: Z
authors.lastname: Wen-Wen
authors.forename: Lü
authors.initials: L
authors.lastname: Zhao-Hui
authors.forename: Liu
authors.initials: L
authors.lastname: Rong
authors.forename: Lu
authors.initials: L
authors.lastname: Ju-Ming
mesh_terms: D002828:Choristoma / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D006801:Humans; D007340:Insulinoma; D010535:Laparoscopy; D008022:Ligaments / Q000601:surgery*; D008099:Liver / Q000601:surgery*; D008297:Male; D010190:Pancreatic Neoplasms; D016896:Treatment Outcome; D055815:Young Adult