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ACTA ENDOCRINOLOGICA-BUCHAREST, vol.11, no.1, pp.85-92, 2015 (SCI-Expanded)
Endogenous hyperinsulinemia was found in a 38-year-old female patient with recurrent neuroglycopenic symptoms he glucose level was 25 mg/dL, insulin 43.9 mu/mL, C-peptide,54 ng/mL). No lesion was found on imaging tests including ahanced computed tomography (CT) methods performed ith a preliminary diagnosis of insulinoma. A suspicious yperperfusion was present in the pancreatic tail on the erfusion CT examination performed after obtaining approval. he selective arterial calcium stimulation test (SACST) result as consistent with a diffuse disease in the body and tail. The atient underwent partial (75%) pancreatectomy and is now)llowed up as a diabetes patient on intensive insulin treatment the postoperative 38th month.