Case contributed by Dr Bahman Rasuli


Episodes of seizures associated with severe hypoglycemia.

Patient Data

Age: 35 years
Gender: Female

Axial T2 weighted images demonstrate an ovoid solid mass lesion in the body of the pancreas with high signal intensity and well-defined contours inferior to the major pancreatic duct.

Axial T1 weighted in-phase and out-of-phase images demonstrate a signal drop within this lesion on the opposed-phased images.

Axial gadolinium contrast T1 weighted images demonstrate vivid enhancement and rapid wash out.

Case Discussion

Recurrent seizure and hypoglycemia in a young female since one month. 

Laboratory data:

  • fasting plasma glucose level: 28 mg/dl ( Fasting normal range: 90-150 mg/dl)
  • pro-insulin level: 21 pmol/l (NL< 5)
  • C- peptide: 5 nmol/l (NL<0.2 ) 
  • negative sulfonylurea test

The neurological syndromes were alleviated by oral carbohydrates

Regarding the imaging, laboratory and clinical findings (Whipple triad), neuroendocrine tumors of the pancreas (Insulinoma) is the final diagnosis.

PlayAdd to Share

Case information

rID: 69381
Published: 9th Jul 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.