Insulinoma (MEN type 1)

Case contributed by Dr Andrew Dixon

Presentation

11 year old girl with hypoglycaemia and raised insulin levels.

Modality: MRI

MR images demonstrate a well defined ovoid mass in the pancreatic neck which is of low T1 and high T2 signal. It enhances on the post contrast images such that the lesion is not identifiable.

Imaging appearance and clinical setting are consistent with insulinoma.  

Case Discussion

The patient's mother was known to have multiple endocrine neoplasia type 1 (MEN I) and the genetic mutation was also subsequently confirmed in her daughter.

 

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Case Information

rID: 10407
Case created: 12th Aug 2010
Last edited: 26th Sep 2015
Inclusion in quiz mode: Included

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