Double localization of pancreatic insulinoma. Diagnostic and therapeutic difficulties
Ungureanu, C.D.; David, L.; Braşoveanu, V.; Herlea, V.; Coculescu, M.; Popescu, I.
Chirurgia 100(5): 489-494
2005
ISSN/ISBN: 1221-9118 PMID: 16372677 Document Number: 587182
Insulinomas are the most common cause of hypoglycemia resulting from endogenous hyperinsulinism. Because most of insulinomas are less than 2 cm in size and rarely they not may be visible by CT scan or transabdominal ultrasonography. Intraoperative ultrasonography may be a solution. Although as surgical method is preferred enucleation because operative time is shorter and easier and the low frequency postoperative complications, pancreaticoduodenectomy Whipple is indicated in selected cases. We report a case of double insulinoma located in the head of the pancreas in which the diagnosis and surgical treatment presented difficulties which determined a particular clinical evolution.