...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Clinical and Diagnostic Research >A Case of Insulinoma with Improved Reactive Hypoglycaemia after Operation
【24h】

A Case of Insulinoma with Improved Reactive Hypoglycaemia after Operation

机译：胰岛素样瘤术后低血糖反应改善

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

It is well known that fasting hypoglycaemia is common in insulinoma, but postprandial hypoglycaemia has also been reported. Inalmost all cases, the serum Immunoreactive Insulin (IRI) level is not suppressed. A 54-year-old Japanese woman experienced repeatedtemporary loss of consciousness simultaneously with hypoglycaemia. 5-hour on admission, she had repeated hypoglycaemiawithout suppression of insulin. A 5-hour Oral 75 gm Glucose Tolerance Test (5-hour OGTT) showed reactive hypoglycaemia. Herserum IRI level was suppressed. Enhanced pancreatic Magnetic Resonance Imaging (MRI) revealed a 10 mm sized tumour in thepancreas; we thus diagnosed her with insulinoma. A laparoscopic distal pancreatectomy was performed. The 5-hour OGTT wasperformed again post operatively. Her abnormal glucose tolerance remained, but her reactive hypoglycaemia improved.We conclude that reactive hypoglycaemia may occur in cases of insulinoma, and may be eliminated through operation. This casereport has two important points. Firstly, the patient’s reactive hypoglycaemia was demonstrated. Secondly, her improving reactivehypoglycaemic state was recorded in detail.
机译：众所周知，空腹低血糖在胰岛素瘤中很常见，但是餐后低血糖也有报道。在几乎所有情况下，血清免疫反应性胰岛素（IRI）的水平都不会受到抑制。一名54岁的日本妇女在反复出现暂时性意识丧失的同时出现了低血糖症。入院5小时后，她反复出现低血糖症，没有抑制胰岛素。一项5小时的75克口服葡萄糖耐量试验（5小时的OGTT）显示出反应性低血糖。 Herserum IRI水平受到抑制。增强胰腺磁共振成像（MRI）显示胰腺中有一个10 mm大小的肿瘤;因此，我们诊断出她患有胰岛素瘤。进行腹腔镜远端胰腺切除术。术后5小时再次进行OGTT。她的异常糖耐量仍然存在，但她的反应性低血糖得到改善。我们的结论是，反应性低血糖可能发生在胰岛素瘤患者中，并且可以通过手术消除。该案例报告有两个要点。首先，证明了患者的反应性低血糖。其次，详细记录了她改善的反应性低血糖状态。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号