Halder P J, Hafeezunnisa P, Pai R, Samsi A B
Dept of Surgery, Jagjivan Ram Hospital, Bombay.
J Postgrad Med. 1992 Oct-Dec;38(4):202-4, 198.
A case of insulinoma who had episoic bizarre behaviour is presented here. Pre-operative fasting and two hour post-prandial blood sugar values indicated hypoglycemia with inappropriately high insulin levels. USG and CT scan of the abdomen revealed a tumor of head of the pancreas. The tumour was enucleated surgically. Histopathological examination confirmed the origin as islet cells. The post-operative blood sugar and insulin levels were found to be in normal range. Since insulinoma is a rare pancreatic tumor, differential diagnoses along with a brief review of the literature is also presented.
本文介绍了一例患有发作性怪异行为的胰岛素瘤患者。术前空腹及餐后两小时血糖值显示低血糖，同时胰岛素水平异常升高。腹部超声和CT扫描显示胰腺头部有一个肿瘤。该肿瘤通过手术摘除。组织病理学检查证实起源于胰岛细胞。术后血糖和胰岛素水平恢复正常。由于胰岛素瘤是一种罕见的胰腺肿瘤，本文还介绍了鉴别诊断并对相关文献进行了简要综述。
