Unique position of a pancreatic head insulinoma during laparoscopic enucleation: case report

Authors

  • Abdullah M. Alshamrani Department of General Surgery, Security Forces Hospital Program, Riyadh, Saudi Arabia
  • Hisham M. Ghabbani Department of General Surgery, Prince Sultan Military Hospital, Saudi Arabia
  • Omar M. Alobaid Department of General Surgery, Prince Sultan Military Hospital, Saudi Arabia
  • Abdullah J. AlShehri Department of General Surgery, Alfaisal University, Riyadh, Saudi Arabia
  • Khalid M. Alzaraa Department of General Surgery, Alfaisal University, Riyadh, Saudi Arabia
  • Haider A. Alshurafa Department of General Surgery, Alfaisal University, Riyadh, Saudi Arabia

DOI:

https://doi.org/10.18203/2349-2902.isj20203801

Keywords:

Insulinoma, Laparoscopy, Pancreatic insulinoma

Abstract

Insulinomas are benign pancreatic neuroendocrine tumors that require surgical intervention as a therapeutic measure. We describe an 18-year-old male patient who presented to the emergency department with a history of syncope, blurred vision, and diaphoresis. His blood sugar level was low upon admission, and a 72-hour fasting plasma glucose test showed low serum glucose, high serum insulin, and high C-peptide. An abdominal computed tomography scan and magnetic resonant imaging revealed a solitary tumor in the pancreatic head with no sign of ductal dilatation. Laparoscopic enucleation was performed, and a histopathological examination revealed findings consistent with insulinoma. The patient’s postoperative course was uneventful, and his follow-up examination was unremarkable. In conclusion, physicians should have a high clinical suspicion index for insulinomas, especially in young patients with a history of syncope, blurred vision, and diaphoresis, in order to avoid delayed diagnosis.

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Published

2020-08-27

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Section

Case Reports