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Thursday 6 November 2014

CASE 281: INSULINOMA, Dr PHAN THANH HẢI-Dr NGUYỄN THÀNH ĐĂNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 39yo  after  delivering her  second  baby, she  had  hypoglycemia  repeatedly  and  more  frequently.  But ultrasound  of pancreas  many time with many sonologists  cannot detect  abnormal in pancreas (see 3  ultrasound pictures  at Medic).







MRI  with gado detected  a small mass  of 1 cm in diameter  at the  head  of  pancreas ( see 3 MRI pictures)




Operation was done  for removing  this mass  and for  microscopic report.




After  removing  the mass of  pancreas,  the  sugar blood was getting  stable and returning to norma value.



Microscopic report was an insulinoma. 

TODAY PATIENT  DISCHARGED FROM HOSPITAL.

IN FASTING  INSULIN WAS  8.1 UI/ML  IN COMPARISON TO PRE-OP VALUE OF 50.9UI/ML.

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