[INVASIVE TECHNIQUES AND INTRAOPERATIVE ECHOGRAPHY IN THE LOCALIZATION OF INSULINOMAS; A CASE REPORT].
The insulinoma is the most common pancreatic neuroendocrine tumor. Surgery is curative in most cases, an appropriate preoperative localization allows a minimal invasive surgical technique for keeping the exo and endocrine function of the pancreas. Some authors suggest the use of invasive localization techniques just in cases with non-identified tumor lesion, others recommend their routinely use. We describe a case with clinical and biochemical diagnosis of insulinoma, conventional image studies revealed a tumor image in the pancreas which corresponded to a lipoma, the intraoperative ultrasound allowed the localization of the real tumor, but body-tail pancreatectomy was performed due to pancreatic necrosis in relation with the duration of the surgery. The systematic use of invasive localization techniques as the intra-arterial calcium stimulation and the pancreatic intraoperative ultrasound would allow a better localization of insulinoma for avoiding complications and associated morbidity.
UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com.
Aura D
AD
Herrera-Martínez
UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com.
José C
JC
Padillo-Cuenca
UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com.
Alfonso
A
Calañas Continente
UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com.
Rodrigo
R
Bahamondes-Opazo
UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com.
Concepción
C
Muñoz-Jiménez
UGC Endocrinología y Nutrición, Hospital Universitario Reina Sofía, Córdoba, España.. aurita.dhm@gmail.com.
María A
MA
Gálvez Moreno
D006801:Humans; D007340:Insulinoma / Q000175:diagnosis* / Q000601:surgery; D007432:Intraoperative Period; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D014463:Ultrasonography / Q000379:methods*