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- Title
Combinación de técnicas invasivas y ecografía intraoperatoria en la localización del insulinoma; a propósito de un caso.
- Authors
Herrera-Martínez, Aura D.; Padillo-Cuenca, José C.; Calañas Continente, Alfonso; Bahamondes- Opazo, Rodrigo; Muñoz-Jiménez, Concepción; Gálvez Moreno, María A.
- Abstract
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.
- Subjects
INSULINOMA; OPERATIVE ultrasonography; ULTRASONIC imaging; NEUROENDOCRINE tumors; PANCREATIC tumors
- Publication
Nutrición Hospitalaria, 2015, Vol 32, Issue 1, p426
- ISSN
0212-1611
- Publication type
Case Study
- DOI
10.3305/nh.2015.32.1.8925