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, vol.11, no.1, pp.85-92, 2015 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 11 Issue: 1
  • Publication Date: 2015
  • Doi Number: 10.4183/aeb.2015.85
  • Journal Name: ACTA ENDOCRINOLOGICA-BUCHAREST
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.85-92
  • Bursa Uludag University Affiliated: Yes

Abstract

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.