Minimally invasive surgical interventions in the treatment of primary persistent hyperinsulinemic hypoglycemia of infancy.
Hyperinsulinemia, diagnosed by laboratory tests, should be diagnosed and treated as soon as possible to prevent fatal complications such as neurological damage. Patients who are resistant to medical therapy should be treated surgically. Minimally invasive surgery, a newly developed approach, is a good choice among surgical procedures to avoid unnecessary extensive pancreatectomy. Here, a 12-year-old boy is presented with diagnosis of hyperinsulinemic hypoglycemia who had recurrent attacks of hypoglycemia and seizures from infancy. Because of his unresponsiveness to medical therapy and his family's preference, he underwent laparoscopic pancreatectomy to reduce morbidity and hospital stay. Two years postsurgical follow-up revealed a normo-glycemic state.
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
Fahimeh
F
Soheilipour
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
Fatemeh
F
Jesmi
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
Mohammad
M
Ahmadi
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
Abdolreza
A
Pazouki
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
Peyman
P
Alibeigi
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
Mohammadreza
M
Abdolhosseini
D002648:Child; D044903:Congenital Hyperinsulinism / Q000473:pathology / Q000601:surgery*; D006801:Humans; D006965:Hyperplasia / Q000473:pathology; D010535:Laparoscopy / Q000379:methods; D008297:Male; D050177:Overweight; D010179:Pancreas / Q000473:pathology*; D010180:Pancreatectomy / Q000379:methods; D016896:Treatment Outcome