ADULT NESIDIOBLASTOSIS, DIAGNOSTIC VALUE OF THE SELECTIVE ARTERIAL CALCIUM STIMULATION TEST AND PERFUSION COMPUTED TOMOGRAPHY. A CASE REPORT


Cander S., Gul O. O., Yildirim-Eryilmaz N., Ugras N., Erturk E., Ersoy C.

ACTA ENDOCRINOLOGICA-BUCHAREST, cilt.11, sa.1, ss.85-92, 2015 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 11 Sayı: 1
  • Basım Tarihi: 2015
  • Doi Numarası: 10.4183/aeb.2015.85
  • Dergi Adı: ACTA ENDOCRINOLOGICA-BUCHAREST
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.85-92
  • Bursa Uludağ Üniversitesi Adresli: Evet

Özet

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.