Document Detail

Non-insulinoma pancreatogenous hypoglycemia syndrome.
MedLine Citation:
PMID:  21755766     Owner:  NLM     Status:  In-Process    
We present the case of a 55 yr female who had recurrent severe hypoglycemic attacks with neuroglycopenic symptoms and altered sensorium including coma. The hypoglycemic episodes were not related to fasting. The hypoglycemia was hyperinsulinemic but all imaging modalities for insulinoma were negative. Selective arterial calcium stimulation test localized the lesion to splenic artery territory and distal pancreatectomy left to the splenic vein was done. The histopathology was consistent with nesidioblastosis and gradient guided pancreatectomy relieved the hypoglycemic episodes.
Chander Mohan Batra; Sundeep Singh Saluja; Rajeev Bajaj; Usha Rajshekar; Vineeta Thakur; Vimal Gupta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Association of Physicians of India     Volume:  59     ISSN:  0004-5772     ISO Abbreviation:  J Assoc Physicians India     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-07-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505585     Medline TA:  J Assoc Physicians India     Country:  India    
Other Details:
Languages:  eng     Pagination:  256-8     Citation Subset:  IM    
Department of Endocrinology, Batra Hospital and Medical Research Center, New Delhi.
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