Hyperinsulinemic Hypoglycemia due to Diffuse Nesidioblastosis in Adults
Nan Xiang, Chi-hua Fang, Ying-fang Fan and Jian Yang
World Journal of Surgical Medical and Radiation Oncology 2013, 2:5
Nesidioblastosis is a rare cause of adult-onset hyperinsulinemic hypoglycemia. We describe a 28-year-old lady who presented with sudden loss of consciousness. Hyperinsulinemic hypoglycemia was found.
Material and Methods
Preoperative imaging’s and intraoperative ultrasound failed to identifiy any pancreatic insulinoma. Selective intra-arterial calcium stimulation with venous sampling showed an elevated insulin level within the distal splenic vein. Open distal pancreatectomy was performed.
Histopathology confirmed nesidioblastosis.
Her recovery was uneventful.
Hyperinsulinemic hypoglycemia; Adult nesidioblastosis; Distal pancreatectomy, insulinoma.