Insulinoma – A diagnostic challenge

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Introduction: Insulinomas are rare pancreatic neuroendocrine neoplasms (pNEN). Operative resection is the treatment of choice.

Aim(s): We report a case of a 51-year-old female showing clinical signs of an insulinoma, but no identifiable lesion upon cross-sectional imaging.

Materials and methods: Our patient first presented with seizures and was treated for epilepsy for 3 years. Further diagnostics eventually revealed severe hypoglycaemia and a pathological fastening test. The patient was thus referred to our centre.

Conference:

Presenting Author:

Authors: Ritter A, Poppinga J, Steinkraus K, von Kroge P, Amin T,

Keywords: Neuroendocrine neoplasia, insulinoma, pancreatic NEN, hypoglycaemia,