Pancreas insulary tumors producing insulin. Insulinoma.
About 3 cases.
Keywords:
pancreas, tumorsAbstract
Authors present three insulary adenomas (insulinomas)
with clear neuroglucophenlc end digestive symptomatology
and severa hypoglycemia crisis, certified
by finding of glycemia and insulinemia by radioinmuno•
logy. In only one case (Nº 3) a topographic diagnosis
Presentado a la Sociedad de Cirugla del Uruguay el 14 de
agosto de 1985.
Prof. Adjunto Interino, Cirujano del Opto. de Emergencia. Prof.
de Cllnica Quirúrgica, Prof. Adjunto de Cirugla Torácica, Residentes
de Cirugla, Médico Endocrinólogo del M.S.P .. Ex-Prof. de
Nefrologla, Ex-Asistente del Opto. de Anatomla Patológica.
Dirección: Félix Laborde 2571. Montevideo (Dr. L Perrone).
Instituto de Cirugla para Postgraduados. Hospital
Pasteur, M.S.P. y Cllnica Quirúrgica "2" (Director Prof.
Dr. Ce/so Silva). Hospital Maciel. Fac. de Medicina,
Montevideo.
was made by computerizeJ axial tomography and echo•
graphy prior to operation.
There was no arteriographic diagnosis in none of !he
cases. Extemporaneous biopsy was positiva In two ca•
ses. The three patients were treated by pancreatic resection
with cure of hypoglicemia requiring insulin for
a week and in another there appeared definitiva insulin•
depending diabetes. lt is advisable to bé as conservativé
as posible in the surgical removal, total panereatectomy
being considered not nécessary. Among drugs,
diazoxide is recomendad. No death occurred.
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