Insulinoma: A Rare Cause of a Common Metabolic Disorder - Hypoglycaemia
We describe the first patient diagnosed with an insulinoma in Oman and successfully managed with a distal laparoscopic pancreatectomy. The importance of obtaining a good history from the patient and/or his family is stressed. All patients with loss of consciousness must have a Reflow check carried o...
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Sultan Qaboos University
2008-03-01
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| Series: | Sultan Qaboos University Medical Journal |
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| Online Access: | https://journals.squ.edu.om/index.php/squmj/article/view/1324 |
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doaj-9aa2888438aa406fb941ecb1a196e31f2020-11-25T02:55:14ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal 2075-051X2075-05282008-03-018163671252Insulinoma: A Rare Cause of a Common Metabolic Disorder - HypoglycaemiaOmayma El Shafie0Dilip Sankhla1Nayil Al-Kindy2Aisha Al-Hamadani3Christopher Grant4Nicholas Woodhouse5Departments of Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman.Departments of Radiology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman.Departments of Surgery, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman.Departments of Pathology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman.Departments of Surgery, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman.Departments of Medicine, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Sultanate of Oman.We describe the first patient diagnosed with an insulinoma in Oman and successfully managed with a distal laparoscopic pancreatectomy. The importance of obtaining a good history from the patient and/or his family is stressed. All patients with loss of consciousness must have a Reflow check carried out and, if hypoglycaemic, this should be documented in the laboratory and a simultaneous serum sample stored for measurement of insulin, C-peptide proinsulin and sulphonylurea levels, if subsequently indicated. If magnetic resonance imaging fails to locate the tumour, endoscopic ultrasound of the pancreas, or indium 111 labelled octreotide scanning is indicated if the patient’s hypoglycaemia has previously responded to treatment with octreotide.https://journals.squ.edu.om/index.php/squmj/article/view/1324insulinomac-peptidehypoglycaemialaparoscopypancreatectomy. |
| collection |
DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Omayma El Shafie Dilip Sankhla Nayil Al-Kindy Aisha Al-Hamadani Christopher Grant Nicholas Woodhouse |
| spellingShingle |
Omayma El Shafie Dilip Sankhla Nayil Al-Kindy Aisha Al-Hamadani Christopher Grant Nicholas Woodhouse Insulinoma: A Rare Cause of a Common Metabolic Disorder - Hypoglycaemia Sultan Qaboos University Medical Journal insulinoma c-peptide hypoglycaemia laparoscopy pancreatectomy. |
| author_facet |
Omayma El Shafie Dilip Sankhla Nayil Al-Kindy Aisha Al-Hamadani Christopher Grant Nicholas Woodhouse |
| author_sort |
Omayma El Shafie |
| title |
Insulinoma: A Rare Cause of a Common Metabolic Disorder - Hypoglycaemia |
| title_short |
Insulinoma: A Rare Cause of a Common Metabolic Disorder - Hypoglycaemia |
| title_full |
Insulinoma: A Rare Cause of a Common Metabolic Disorder - Hypoglycaemia |
| title_fullStr |
Insulinoma: A Rare Cause of a Common Metabolic Disorder - Hypoglycaemia |
| title_full_unstemmed |
Insulinoma: A Rare Cause of a Common Metabolic Disorder - Hypoglycaemia |
| title_sort |
insulinoma: a rare cause of a common metabolic disorder - hypoglycaemia |
| publisher |
Sultan Qaboos University |
| series |
Sultan Qaboos University Medical Journal |
| issn |
2075-051X 2075-0528 |
| publishDate |
2008-03-01 |
| description |
We describe the first patient diagnosed with an insulinoma in Oman and successfully managed with a distal laparoscopic pancreatectomy. The importance of obtaining a good history from the patient and/or his family is stressed. All patients with loss of consciousness must have a Reflow check carried out and, if hypoglycaemic, this should be documented in the laboratory and a simultaneous serum sample stored for measurement of insulin, C-peptide proinsulin and sulphonylurea levels, if subsequently indicated. If magnetic resonance imaging fails to locate the tumour, endoscopic ultrasound of the pancreas, or indium 111 labelled octreotide scanning is indicated if the patient’s hypoglycaemia has previously responded to treatment with octreotide. |
| topic |
insulinoma c-peptide hypoglycaemia laparoscopy pancreatectomy. |
| url |
https://journals.squ.edu.om/index.php/squmj/article/view/1324 |
| work_keys_str_mv |
AT omaymaelshafie insulinomaararecauseofacommonmetabolicdisorderhypoglycaemia AT dilipsankhla insulinomaararecauseofacommonmetabolicdisorderhypoglycaemia AT nayilalkindy insulinomaararecauseofacommonmetabolicdisorderhypoglycaemia AT aishaalhamadani insulinomaararecauseofacommonmetabolicdisorderhypoglycaemia AT christophergrant insulinomaararecauseofacommonmetabolicdisorderhypoglycaemia AT nicholaswoodhouse insulinomaararecauseofacommonmetabolicdisorderhypoglycaemia |
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