Abstract

GONZALEZ-CLAVIJO, Angélica María  and  FIERRO-MAYA, Luis Felipe. Patient with neuropsychiatric symptoms and insulinoma of difficult preoperative localization. rev.fac.med. [online]. 2014, vol.62, n.4, pp.637-640. ISSN 0120-0011.  https://doi.org/10.15446/revfacmed.v62n4.44498.

This paper describes the case of a patient with neuropsychiatric symptoms who was diagnosed with hyperinsulinemic hypoglycemia with high suspicion of insulinoma, even after conventional diagnostic imaging was unable to locate it. A selective angiography of the pancreatic arteries and a calcium stimulation test were conducted to determine its location. The patient underwent a distal pancreatectomy using an intraoperative ultrasound, resulting in the disappearance of her symptoms.

Keywords : Insulinoma; Hypoglycemia; Psychiatry; Angiography.

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