Tovar J A, Nogués A, Lopez-Palma F
Universidad del Paĭs Vasco, Hospital Materno-Infantil NaSa de Aranzazu, Service de Chirurgie Pédiatrique, San Sebastián, Espagne.
Chir Pediatr. 1987;28(3):175-8.
We report the case of a 11-year-old boy suffering from crises of severe hypoglycaemia with high insulin levels. At operation we found a 13 mm adenoma in the head of the pancreas that was enucleated with immediate cure of symptoms. Neither ultrasonography nor CT-scanner (in its conventional and "dynamic" modalities) could help in locating preoperatively the tumor which was nevertheless visible on coeliac axis selective arteriography. The contribution of these new, less invasive, procedures to the diagnosis of pancreatic nodules in children remains to be determined.
我们报告了一名11岁男孩的病例，他患有严重低血糖发作且胰岛素水平升高。手术中，我们在胰头发现了一个13毫米的腺瘤，将其摘除后症状立即得到缓解。超声检查和CT扫描（常规及“动态”模式）均无法在术前帮助定位该肿瘤，不过在腹腔动脉选择性动脉造影中该肿瘤是可见的。这些新的、侵入性较小的检查方法对儿童胰腺结节诊断的贡献仍有待确定。
