Open AccessA Case of 'Camouflaged Insulinoma & Diazoxide Quandary
Author(s) -
Sonam Tshering,
Saquib Navid Siddiqui,
Irfan Hussain Khan
Publication year - 2021
Publication title -
international journal of innovative research in medical science
Language(s) - English
Resource type - Journals
ISSN - 2455-8737
DOI - 10.23958/ijirms/vol06-i02/1056
Subject(s) - diazoxide , insulinoma , medicine , refractory (planetary science) , octreotide , hyperinsulinism , endoscopic ultrasound , insulin , radiology , surgery , somatostatin , insulin resistance , physics , astrobiology
Insulinomas are rare cause of neuroendocrine tumour which secretes insulin leading to hyperinsulinism. Diagnosis requires biochemical evaluation followed by tumour localization.We report a case of an adult women, who, had multiple admissions with dizziness, funny turns and double vision for at least 2 years and seen by the multiple medical specialties before the diagnosis of Insulinoma was made.Endoscopic Ultrasound finally localized the tumour despite negative results on multiple non-invasive imaging modalities. Prior to the localization of tumour, she was treated with dietary modifications followed by Diazoxide, which, she had to abandon due to refractory fluid overload as a result of it. A trial of SC Octreotide was started with excellent results whilst waiting for surgery. She underwent laparoscopic distal pancreatectomy on 22/02/2019.