Department of Pediatrics, Maulana Azad Medical College, New Delhi 110002, India.
Indian Pediatr. 2011 Feb;48(2):139-41. doi: 10.1007/s13312-011-0027-8.
We report a case of congenital hyperinsulinism with diffuse pancreatic abnormality diagnosed preoperatively by using [18-F]-L-DOPA positron emission tomography (PET). The infant was referred to us for recurrent hypoglycemia. Critical blood sample revealed increased insulin: glucose ratio. DOPA PET scan revealed diffuse involvement of pancreas. Subtotal (95%;) pancreatectomy was done. Infant remained euglycemic on breast feeds at discharge.
我们报告了一例先天性高胰岛素血症伴弥漫性胰腺异常的病例,该病例术前通过 [18-F]-L-DOPA 正电子发射断层扫描 (PET) 进行诊断。患儿因反复低血糖就诊。危急值血样显示胰岛素:血糖比值升高。DOPA PET 扫描显示胰腺弥漫受累。行胰腺次全切除术(95%)。患儿出院时母乳喂养血糖正常。