Non-insulinoma pancreatogenous hypoglycemia syndrome due to nesidioblastosis following bariatric Roux-en-Y gastric bypass.

Gottsponer, Josephine A; Baker, David L; Osborn, Tamara; Estrada, Martha M; Giorgakis, Emmanouil; Burdine, Lyle J; Patel, Raj B.

Afiliação

Gottsponer JA; College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Baker DL; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Osborn T; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Estrada MM; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Giorgakis E; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Burdine LJ; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Patel RB; Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA.

J Surg Case Rep ; 2023(2): rjad050, 2023 Feb.

Article em En | MEDLINE | ID: mdl-36811071

ABSTRACT

A 56-year-old woman with past medical history significant for bariatric Roux-en-Y gastric bypass 3 years prior presented for evaluation of an 8-month history of severe hypoglycemia relieved by intake of carbohydrates associated with syncopal episodes. Inpatient workup revealed endogenous hyperinsulinemia concerning for insulinoma vs. nesidioblastosis. She successfully underwent pancreaticoduodenectomy (Whipple procedure), and pathology report confirmed scattered low-grade intraepithelial neoplasia within the pancreatic parenchyma consistent with nesidioblastosis. The patient has had satisfactory control of glucose levels 30 days out from surgery.

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2023 Tipo de documento: Article