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Published on: November 27, 2019
[Intermittent disturbances of perception during fasting in a 46-year-old female patient]
1Klinik I Innere Medizin, Bundeswehrkrankenhaus Hamburg, Lesserstraße 180, 22049, Hamburg, Deutschland.
Background:
We report the case of a 46-year-old female patient who presented in the emergency department with intermittent disturbances of perception when fasting.
Diagnostics:
In the diagnostic fasting test, a hyperinsulinemic hypoglycemia already occurred after 7h. A sonographic examination was inconspicuous, therefore, a Ga 68-HA-DOTATATE positron emission tomography computed tomography (PET-CT) was carried out. The results were indicative of a neuroendocrine neoplasm, which gave rise to the suspicion of an insulinoma.
Clinical Course:
For surgical treatment the patient was transferred to an external hospital. Following surgery, the patient was free of symptoms.
Conclusion:
If multiple symptoms of hypoglycemia are present, an insulinoma as the cause must be considered in the differential diagnostics.
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