47 yrs female with multiple episodes of unconciousness....every time found to be hypoglycemic..
finally diagnosed to have Insulunoma.....by an Eminent physician.
Random Insulin level : 198 (normal is <5) Parathormone: Normal ; Ca ++ : normal
(no e/o MEN1 or MEN 2B)
MRI s/o
CECT S/o:
Intra Op: 10 % dextrose infusion was given @ 100 ml / hr to prevent hypoglycemia...and thanks to anesthetist who kept pt stable through out surgery and was hardly 50 ml blood loss...
post operatively pt doing well... started on oral diet...sugars are normal...
shifted to General ward (POD - 3)
http://drkeyurbhatt.blogspot.com/2011/02/insulinoma.html
finally diagnosed to have Insulunoma.....by an Eminent physician.
Random Insulin level : 198 (normal is <5) Parathormone: Normal ; Ca ++ : normal
(no e/o MEN1 or MEN 2B)
MRI s/o
surrounded by vital structures |
CECT S/o:
just few mm away from main pancreatic duct |
SURGERY: Enucleation of tumor....
Intra Op: 10 % dextrose infusion was given @ 100 ml / hr to prevent hypoglycemia...and thanks to anesthetist who kept pt stable through out surgery and was hardly 50 ml blood loss...
post operatively pt doing well... started on oral diet...sugars are normal...
shifted to General ward (POD - 3)
http://drkeyurbhatt.blogspot.com/2011/02/insulinoma.html
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