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Updated: May 15, 2026

Isolation of Neonatal Extrahepatic Cholangiocytes
Published on: June 5, 2014
Hepatitis in an infant treated with octreotide for congenital hyperinsulinism
Ilana Koren1, Arieh Riskin, Winfried Barthlen
1Armon Child Center, Haifa, Israel. ilanaza2@clalit.org.il
Insights
Octreotide treatment for congenital hyperinsulinism can cause liver injury. This infant experienced hepatitis, which resolved after stopping octreotide, highlighting the need for liver function monitoring.
Area of Science:
- Pediatric Endocrinology
- Hepatology
- Clinical Pharmacology
Background:
- Congenital hyperinsulinism (CHI) involves hypoglycemia due to genetic defects in insulin secretion.
- Octreotide, a somatostatin analogue, is a key pharmaceutical for managing CHI.
- Drug-induced liver injury is a significant concern in pediatric pharmacotherapy.
Abstract:
Congenital hyperinsulinism is characterized by hypoglycemia caused by several genetic disorders of inappropriate insulin secretion. Octreotide, an analogue of somatostatin, plays a major role in the pharmaceutical treatment of this condition. A 9-month-old infant treated with octreotide developed anicteric hepatitis with no other proven cause. After the discontinuation of this drug, the liver enzymes declined rapidly. Liver function tests should be followed in patients receiving octreotide.
