WOMAN 25YO with HYPOGLYCEMIA COMA MANY TIMES IN EMERGENCY HOSPITAL.
AT MEDIC, BLOODTESTS:
FASTING GLUCOSE (FPG) = 2.4 (N=3.9-5.9 mmol/mL)
Insuline= 71.3 ( N= 2.6-24.9 microUI/mL)
C-PEPTIC FASTING = 7.45 ng/mL (N =1.1-4.4 mUI/mL)
BLOOD TEST RESULTS SUSPECTED INSULINOMA.
ULTRASOUND of PANCREAS IS NORMAL BUT SMALL ACCESSORY SPLEEN EXISTS (US 1, US 2, US 3).
MSCT SPECTRAL CONTRAST of PANCREAS NON DETECTED PANCREAS TUMOR BUT CLEARLY VIEWING ACCESSORY SPLEEN (CT1/CT2).
MRI of PANCREAS DETECTED SMALL TUMOR AT THE TAIL of PANCREAS #1.5 CM SUSPECTED INSULINOMA.
Operation removed small tumor at the tail of pancreas (ope, macro1, macro2).
MICROSCOPIC REPORT IS ENDOCRINE PANCREATIC ADENOMA (INSULINOMA).
Reference CT perfusion of pancreas detected insulinoma.
