Ravens S, Scheit L
Klinik I Innere Medizin, Bundeswehrkrankenhaus Hamburg, Lesserstraße 180, 22049, Hamburg, Deutschland.
Internist (Berl). 2020 Sep;61(9):964-968. doi: 10.1007/s00108-020-00830-z.
We report the case of a 46-year-old female patient who presented in the emergency department with intermittent disturbances of perception when fasting.
In the diagnostic fasting test, a hyperinsulinemic hypoglycemia already occurred after 7h. A sonographic examination was inconspicuous, therefore, a Ga 68-HA-DOTATATE positron emission tomography computed tomography (PET-CT) was carried out. The results were indicative of a neuroendocrine neoplasm, which gave rise to the suspicion of an insulinoma.
For surgical treatment the patient was transferred to an external hospital. Following surgery, the patient was free of symptoms.
If multiple symptoms of hypoglycemia are present, an insulinoma as the cause must be considered in the differential diagnostics.
我们报告了一名46岁女性患者的病例，该患者在急诊科就诊时出现空腹时间歇性感知障碍。
在诊断性禁食试验中，7小时后即出现高胰岛素血症性低血糖。超声检查未发现异常，因此进行了镓68-羟基乙酸-奥曲肽正电子发射断层扫描计算机断层扫描（PET-CT）。结果提示为神经内分泌肿瘤，怀疑为胰岛素瘤。
为进行手术治疗，患者被转至外部医院。手术后，患者症状消失。
如果出现多种低血糖症状，在鉴别诊断中必须考虑胰岛素瘤作为病因。
