Korean J Hepatobiliary Pancreat Surg.
2004 Sep;8(3):202-205.
Nesidioblastosis with Hyperinsulinemic Hypoglycemia in Adult
- Affiliations
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- 1Department of General Surgery, Ilsan Paik Hospital, Inje University, Ilsan, Korea. cnkim@ilsanpaik.ac.kr
Abstract
- Nesidioblastosis is a term that describes the prolonged differentiation of islets of Langerhan's cells from the epithelium of the pancreatic duct. Nesidioblastosis is a primarily childhood disease, which is often associated with hyperinsulinemic hypoglycemia, but rarely found in adults. A 62-year-old man with hyperinsulinemic hypoglycemia complained of general weakness and mental change while fasting. Abdominopelvic CT, celiac angiography, intra-arterial calcium stimulation test and endoscopic ultrasonography did not reveal any tumor in the pancreas. A subtotal pancreatectomy (nearly 80% of pancreas was removed) was then carried out. He was diagnosed with nesidioblastosis inform the pathology after the operation. Herein, our experience of a 62-year-old Nesidioblastosis patient is reported.
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