Pitfalls in diagnosing a small cystic insulinoma: a case report
2007

Diagnosing a Small Cystic Insulinoma: A Case Report

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Sumarac-Dumanovic Mirjana, Micic Dragan, Krstic Miodrag, Georgiev Maja, Diklic Aleksandar, Tatic Svetislav, Stamenkovic-Pejkovic Danica, Kendereski Aleksandra, Cvijovic Goran, Pavlovic Aleksandra

Primary Institution: Institute of Endocrinology, Diabetes and Diseases of Metabolism, University Clinical Centre, Belgrade, Serbia

Hypothesis

Can endoscopic ultrasound effectively localize small cystic insulinomas that are difficult to diagnose?

Conclusion

Endoscopic ultrasound was useful in diagnosing a small cystic insulinoma that had been symptomatic for many years.

Supporting Evidence

  • Insulinomas are rare pancreatic tumors, often benign and solitary.
  • Cystic insulinomas are particularly difficult to diagnose preoperatively.
  • Endoscopic ultrasound has shown high accuracy in localizing pancreatic neuroendocrine tumors.

Takeaway

This study is about a man who had a tiny tumor in his pancreas that caused him to feel sick for a long time, and doctors used a special ultrasound to find it.

Methodology

The case involved multiple fasting tests, imaging studies including MRI and endoscopic ultrasound, and surgical intervention.

Limitations

The diagnosis was complicated by a falsely positive test for a medication and the small size of the tumor.

Participant Demographics

A 51-year-old male with a history of hypertension and past alcohol abuse.

Digital Object Identifier (DOI)

10.1186/1752-1947-1-181

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