Insulinoma: is it still a diagnosis of exclusion? A case report

Authors

  • Vipan Kumar Department of Surgery, Dr. RPGMC Kangra, Tanda, Himachal Pradesh, India
  • Vikrant Sharma Department of Surgery, Dr. RPGMC Kangra, Tanda, Himachal Pradesh, India
  • Ankur Sharma Department of Surgery, Dr. RPGMC Kangra, Tanda, Himachal Pradesh, India
  • Amit Rattan Department of Surgery, Dr. RPGMC Kangra, Tanda, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20164489

Keywords:

Insulinoma, Whipples' triad

Abstract

Few cases of hypoglycaemic peripheral neuropathy due to insulinoma have been reported in literature. We are reporting a case of insulinoma manifesting with chronic progressive encephalopathy, intractable seizures, and neuropathy-a triad of neurological features in insulinoma. The diagnosis was delayed as the repeated investigations including dual phase CECT abdomen was normal. This case report highlights the importance of evaluation of patients for insulinoma with high resolution CECT abdomen and FDG PET scan. A keen suspicion and investigation with appropriate modality can prevent the irreversible neuroglycopenic damage, as reported in this case.

References

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Published

2016-12-13

Issue

Section

Case Reports