Central Pancreatectomy with Pancreaticojejunostomy for an Insulinoma: A Case Report with Literature Review

• Main Authors: Ramzy T. Nagle, Valerie E. Takyi, Charles J. Yeo
• Format: Article
• Language: English
• Published: Mary Ann Liebert 2017-06-01
• Series: Journal of Pancreatic Cancer
• Subjects: central pancreatectomy; CT scan; insulinoma; intraoperative ultrasound; pancreatic neuroendocrine tumor; symptomatic hypoglycemia
• Online Access: https://www.liebertpub.com/doi/full/10.1089/PANCAN.2017.0003

Background: Insulinomas are a rare entity commonly treated by resection. Central pancreatectomy represents an uncommon type of resection for pancreatic lesions. Case Presentation: A 77-year-old female underwent a central pancreatectomy with Roux-en-Y pancreaticojejunostomy and pancreatic stump oversew after presenting with symptoms of hypoglycemia concerning for an insulinoma. Her hospital course was uncomplicated and her symptoms resolved after resection. Conclusion: Resection of insulinomas is the preferred approach of treatment, and resection by central pancreatectomy is a safe option for benign lesions in the neck of the pancreas.