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Giant nonfunctioning islet cell tumor requiring pancreaticoduodenectomy and complete liver revascularization
Author(s) -
Aszodi Ami,
Leeming Rosemary A.,
Lash Richard H.,
Olsen Margaret M.,
Ponsky Jeffrey L
Publication year - 1993
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930530418
Subject(s) - medicine , pancreaticoduodenectomy , hypoglycemia , pancreas , islet , revascularization , superior mesenteric artery , superior mesenteric vein , perforation , surgery , portal vein , insulin , materials science , myocardial infarction , punching , metallurgy
Pancreaticoduodenectomy with revascularization of the hepatic artery and portal vein was performed on a 17‐year‐old girl with giant nonfunctioning islet cell tumor of the pancreas. She had a remote history of neonatal hypoglycemia leading to mental retardation and a right Wilms' tumor resected at 8 months. Serum pancreatic polypeptide levels were elevated. Her postoperative course was complicated by an ischemic perforation of the colon, which did not infect her prosthetic vascular grafts. The relationship between her neonatal hypoglycemia, Wilms' tumor, and subsequent islet cell neoplasm is unclear. © 1993 Wiley‐Liss, Inc.