Department of Surgery, Windhoek Central Hospital, Windhoek, Namibia.
Department of Radiology, Windhoek Central Hospital, Windhoek, Namibia.
Pan Afr Med J. 2022 May 25;42:69. doi: 10.11604/pamj.2022.42.69.34839. eCollection 2022.
An insulinoma is a rare functional pancreatic neuroendocrine tumour that is usually sporadic and solitary. The hallmark is hypersecretion of insulin, which leads to neuroglycopenia symptoms and uncontrolled sympathoadrenal activity. Neuroendocrine tumours can have a varied presentation, with symptoms often ascribed to a different diagnosis, thus delaying correct diagnosis and treatment. We present the case of a 26-year-old female who had a 3-year delay before diagnosing insulinoma after being initially assessed with epilepsy and schizophrenia. The case report below provides a detailed review of the diagnosis, tumour localization, and surgical interventions implemented for the patient during the COVID-19 pandemic.
胰岛素瘤是一种罕见的功能性胰腺神经内分泌肿瘤，通常为散发和单发。其特征是胰岛素分泌过多，导致神经低血糖症状和不受控制的交感肾上腺活性。神经内分泌肿瘤的表现形式多种多样，其症状常归因于不同的诊断，从而导致诊断和治疗的延误。我们报告了一例 26 岁女性的病例，她在最初被诊断为癫痫和精神分裂症后，经过 3 年的延迟才被诊断为胰岛素瘤。以下病例报告详细回顾了在 COVID-19 大流行期间为患者实施的诊断、肿瘤定位和手术干预。
