Insulinoma

Case contributed by Bahman Rasuli , 9 Jul 2019
Diagnosis almost certain
Changed by Mostafa Elfeky, 10 Jul 2019

Updates to Case Attributes

Body was changed:

Recurrent seizure and hypoglycemia in a young female fromsince one month ago

laboratoryLaboratory data:

Fasting

  • fasting plasma glucose level: 28 mg/dl ( Fasting normal range: 90-150 mg/dl)

    Pro

  • pro-insulin level: 21 pmol/l (NL< 5)
  • C- peptide: 5 nmol/l (NL<0.2 )

    Sulfonylurea : -

  • negative sulfonylurea test

The neurological syndromes were alleviated by oral carbohydrates.

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

  • -<p>Recurrent seizure and hypoglycemia in a young female from one month ago</p><p>laboratory data:</p><p>Fasting plasma glucose level: 28 mg/dl ( Fasting normal range: 90-150 mg/dl)</p><p>Pro-insulin level: 21 pmol/l (NL&lt; 5)</p><p>C- peptide: 5 nmol/l (NL&lt;0.2 )</p><p>Sulfonylurea : -</p><p>The neurological syndromes were alleviated by oral carbohydrates.</p><p>Regarding the imaging, laboratory and clinical(Whipple triad) findings, neuroendocrine tumors of the pancreas(Insulinoma) is the final diagnosis.</p><p> </p><p> </p>
  • +<p>Recurrent seizure and hypoglycemia in a young female since one month. </p><p>Laboratory data:</p><ul>
  • +<li>fasting plasma glucose level: 28 mg/dl ( Fasting normal range: 90-150 mg/dl)</li>
  • +<li>pro-insulin level: 21 pmol/l (NL&lt; 5)</li>
  • +<li>C- peptide: 5 nmol/l (NL&lt;0.2 ) </li>
  • +<li>negative sulfonylurea test</li>
  • +</ul><p>The neurological syndromes were alleviated by oral carbohydrates</p><p>Regarding the imaging, laboratory and clinical findings (<a title="Whipple triad" href="/articles/whipple-triad-1">Whipple triad</a>), neuroendocrine tumors of the pancreas (<a title="Insulinoma" href="/articles/insulinoma">Insulinoma</a>) is the final diagnosis.</p>

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