Localization of Multiple Pancreatic Insulinoma by Intra-arterial Calcium Stimulation with Hepatic Venous Sampling and Intra-operative Ultrasound Imaging: a Case Report
| Author | ER General | en |
| Author | EC Cunanan | en |
| Author | JD Uy | en |
| Author | AS Crisaldo | en |
| Author | CJV Fiemtebella | en |
| Author | Jr NS Navarro | en |
| Author | AG Tingcungco | en |
| Author | RA Lopez | en |
| Author | LB Mercado-Asis | en |
| Issued Date | 2007-10-31 | en |
| Abstract | Insulinoma is a rare neuroendocrine tumor with an incidence of approximately 4 per 5 million population. They are typically sporadic, solitary and less than 2 cm in diameter. Despite the in-troduction of sophisticated cross-imaging tech-niques such as CT scan, MRI and ultrasound, lo-calization of insulinomas, especially those smaller than 2 cm remains a problem; for this, one can localize insulinoma by stimulating re-lease of insulin using selective intra-arterial in-jection of calcium and subsequent measurement of insulin levels in the hepatic veins. We report here a case of multiple pancreatic insulinomas measuring 3.0 x 2.1 x 2.0 cm ( head) and 1.0 x 0.8 x 0.3 cm (body) not seen by imaging techniques but localized by intra-arterial calcium stimula-tion with hepatic venous sampling and intraop-erative ultrasound imaging. This is the first se-lective intra-arterial calcium stimulation with hepatic venous sampling for localization of pan-creatic insulinoma in the Philippines. | en |
| DOI | https://doi.org/ | en |
| URI | https://brieflands.com/journals/ijem/articles/74935 | en |
| Keyword | Multiple | en |
| Keyword | Insulinoma | en |
| Keyword | Calcium Stimulation | en |
| Keyword | Venous Sampling | en |
| Keyword | Ultrasound | en |
| Publisher | Brieflands | en |
| Title | Localization of Multiple Pancreatic Insulinoma by Intra-arterial Calcium Stimulation with Hepatic Venous Sampling and Intra-operative Ultrasound Imaging: a Case Report | en |
| Type | Case Report | en |
Files
Original bundle
1 - 1 of 1
Loading...
- Name:
- 74935-pdf.pdf
- Size:
- 163.68 KB
- Format:
- Adobe Portable Document Format
- Description:
- Article/s PDF