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- Title
Endoscopic ultrasound localization of a solitary insulinoma of pancreatic tail misdiagnosed as epilepsy: case report.
- Authors
Muscatiello, N.; Cuomo, R.; Gentile, M.; de Francesco, V.; Stoppino, V.; Contillo, A.; Salcuni, A.; Natale, C.; Panella, C.; Ierardi, E.
- Abstract
A 17-year-old female patient with features of epilepsy was treated with valproic acid. Two years later, hypoglycemia and hyperinsulinemia appeared. Transabdominal ultrasonography, spiral computed tomography, and indium-111 Octreoscan were performed without positive results. Endoscopic ultrasonography identified an oval tumor in the pancreatic tail with a color Doppler hypervascular pattern. Surgical enucleation decreased levels of insulin and C-peptide within 20 min, and the patient became free of symptoms and medications.
- Subjects
VALPROIC acid; VALERIC acid; HYPOGLYCEMIA; INSULIN; SPIRAL computed tomography; DIAGNOSTIC ultrasonic imaging; C-peptide
- Publication
Abdominal Imaging, 2003, Vol 28, Issue 6, p859
- ISSN
0942-8925
- Publication type
journal article
- DOI
10.1007/s00261-003-0039-5