Open AccessAltered mental state and the Whipple triad
Author(s) -
MarieFrance Kong,
Mark Lawden,
Ashley R. Dennison
Publication year - 2010
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.08.2009.2158
Subject(s) - medicine , insulinoma , mental state , computed tomography , mri scan , laparoscopy , radiology , abdominal computed tomography , whipple procedure , abdominal pain , general surgery , surgery , pancreas , magnetic resonance imaging , pancreaticoduodenectomy , psychiatry
A 47-year-old man presented with episodes of altered mental state initially felt to be complex partial seizures, but which were in fact hypoglycaemic episodes. An insulinoma was confirmed and eventually localised. He underwent an abdominal computed tomography scan and intraoperative laparoscopy, but required selective venous sampling to localise the tumour. Fifteen months after his surgery there is no evidence of recurrence of his insulinoma.