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conference
series
.com
Volume 7, Issue 5 (Suppl)
J Gastrointest Dig Syst, an open access journal
ISSN:2161-069X
Gastroenterology 2017
November 13-14, 2017
November 13-14, 2017 | Las Vegas, USA
13
th
International Conference on
Clinical Gastroenterology, Hepatology and Endoscopy
An interesting combined case of the insulinoma with primary hyperparathyroidism
Introduction:
Insulinomas are rare. Most of them are small and measure less than 2 centimeters in diameter. Insulinomas also
tend to affect women more than men. They most commonly develop in people who are between ages 40 and 60. It is also very
seldom combined with other endocrine tumors.
Case Study:
Case study begins with 17-year-old female patient with 1-2-year history of disease of GI-tract attended our
clinic. She complained about weakness, abdominal pain and bloatedness with abdominal distension, especially before meal,
sweating accompanied with syncope. All biochemical parameters were normal. It was performed MRI of abdomen and was
revealed the giant tumor 3x4 cm of the pancreas. Than occurred hypoglycemia and due to this reason, she was consulted by
endocrinologist. It was suspected the diagnose of the insulinoma. Other systemic as well GI-diseases were excluded. But due to
the parathormone elevation was primary hyperparathyroidism verified. We performed laparoscopic enucleation of pancreatic
insulinoma. All the above mentioned abdominal symptoms relived after the operation. Peristalsis returned after 12 hours. The
patient took meal the next day after the operation without any pathological symptoms. The hypoglycemia was normalized. The
patient was additionally operated due to the parathyroid glands.
Summary & Conclusions:
Six months passed after the surgery and the patient tolerated this period well. Our case show that
the main cause of above mentioned symptoms could be insulinoma combined with hyperparathyroidism. For this reason first
it should be performed enucleation of the tumor.
gocha33@yahoo.comG Barbakadze
Tbilisi State Medical University, Georgia
G Barbakadze, J Gastrointest Dig Syst 2017, 7:5 (Suppl)
DOI: 10.4172/2161-069X-C1-054