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Nesidioblastosis--a rare cause of hypoglycaemia in adults
A Babińska1, K Jaśkiewicz, B Karaszewski
1Department of Internal Medicine, Endocrinology and Hemostatic Disorders, Medical University of Gdansk, Poland. a.mail@wp.pl
Abstract:
A case of suspected clinically hormonally active insulinoma in a 48-year-old woman is presented. Despite the lack of features, which might correspond to the insulinoma in radiological examinations, the patient was qualified for a distal subtotal pancreatectomy and then, due to persistent hyperinsulinism, for total pancreatectomy. The insulinoma was found neither in a palpable examination of the pancreas nor in the intraoperative ultrasonic examination. In a histopathological examination supplemented with immunohistochemical tests, nesidioblastosis - a rare cause of hypoglycaemia in adults - was diagnosed.
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