Non-insulinoma Pancreatogenous Hypoglycemia Syndrome Due to Nesidioblastosis Following Bariatric Roux-en-Y Gastric Bypass
Overview
Overview
Journal
J Surg Case Rep
Publisher
Oxford University Press
Specialty
General Surgery
Date
2023 Feb 22
PMID
36811071
Authors
Authors
Affiliations
Affiliations
Soon will be listed here.
Abstract
A 56-year-old woman with past medical history significant for bariatric Roux-en-Y gastric bypass 3 years prior presented for evaluation of an 8-month history of severe hypoglycemia relieved by intake of carbohydrates associated with syncopal episodes. Inpatient workup revealed endogenous hyperinsulinemia concerning for insulinoma vs. nesidioblastosis. She successfully underwent pancreaticoduodenectomy (Whipple procedure), and pathology report confirmed scattered low-grade intraepithelial neoplasia within the pancreatic parenchyma consistent with nesidioblastosis. The patient has had satisfactory control of glucose levels 30 days out from surgery.
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