scholarly journals Insulinoma-Induced Hypoglycemia in a Patient with Insulinoma after Gastrojejunostomy for Prepyloric Ulcer

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Yavuz Savas Koca ◽  
Bünyamin Aydın ◽  
Tugba Koca ◽  
Mustafa Tevfik Bülbül ◽  
Mehmet Numan Tamer

Hyperinsulinism due to dumping syndrome following gastric surgery is an uncommon condition. It is specified with hypoglycemic attacks. However, linking symptoms to dumping syndrome in each patient to whom gastric surgery was performed leads to inappropriate diagnosis and therapy. Insulinoma and other causes that give rise to hyperinsulinemia should not be ignored and these diagnoses should be excluded. In this paper, 71-year-old male patient who was followed up for 2 years with a false conclusion of dumping syndrome and operated on due to insulinoma diagnosed at endoscopic ultrasonography is presented in the light of the literature.

1963 ◽  
Vol 86 (2) ◽  
pp. 291 ◽  
Author(s):  
THEODOR WIZNITZER

2021 ◽  
Vol 9 (1) ◽  
pp. 185
Author(s):  
Marta Alexandre Silva ◽  
Maria João Amaral ◽  
Pedro Pinto ◽  
Mónica Martins ◽  
Marco Serôdio ◽  
...  

Hypoglycaemia in the post-operative period is mainly iatrogenic (related to anti-hyperglycaemic drugs), but can be explained by an endogenous hyperinsulinemic state. In the context of previous gastrointestinal surgery, a form of dumping syndrome can mask hypoglycaemia from an underlying cause, such as an insulinoma. The authors present a clinical case of a male patient who underwent oesophageal surgery for an oesophago-gastric junction adenocarcinoma and developed hypoglycaemic symptoms in the post-operative period, caused by an undiagnosed insulinoma. This case report portraits the diagnostic investigation of a hypoglycaemia state in the post-operative period, narrowing to the workup of an endogenous hyperinsulinemic hypoglycaemia and provides a summary of insulinoma’s treatment. An insulinoma should always be considered in a patient with endogenous hyperinsulinemic hypoglycaemia, even with a history of oesophago-gastric surgery.


2009 ◽  
Vol 17 (21) ◽  
pp. 2208
Author(s):  
Xiang-Ping Ding ◽  
Jin-Hua Zhang ◽  
Jian-Bo Zhuang ◽  
Lian-Sheng Miao ◽  
Fu-Hua Zhang ◽  
...  

1965 ◽  
Vol 91 (3) ◽  
pp. 419 ◽  
Author(s):  
THEODOR WIZNITZER

Joints ◽  
2017 ◽  
Vol 05 (04) ◽  
pp. 246-248 ◽  
Author(s):  
Armando Macera ◽  
Francesca Teodonno ◽  
Christian Carulli ◽  
Alberto Frances Borrego ◽  
Massimo Innocenti

AbstractTarsal coalitions have an incidence of 2% and are often underdiagnosed. These are considered to be one of the causes of chronic ankle and foot pain. Among all tarsal coalitions, the talonavicular type represents a rare and uncommon condition. The purpose of this article was to present the case of a 35-year-old male patient with a bilateral talonavicular coalition treated conservatively. A review of the literature was also performed to understand the management of this rare condition.


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