Skip to main content
SpringerLink
Log in

Endoscopic ultrasound localization of a solitary insulinoma of pancreatic tail misdiagnosed as epilepsy: case report

  • Published:
Abdominal Imaging Aims and scope Submit manuscript

Abstract

A 17-year-old female patient with features of epilepsy was treated with valproic acid. Two years later, hypoglycemia and hyperinsulinemia appeared. Transabdominal ultrasonography, spiral computed tomography, and indium-111 Octreoscan were performed without positive results. Endoscopic ultrasonography identified an oval tumor in the pancreatic tail with a color Doppler hypervascular pattern. Surgical enucleation decreased levels of insulin and C-peptide within 20 min, and the patient became free of symptoms and medications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Author information

Authors and Affiliations

  1. Gastroenterology Unit, “Ospedali Riuniti” of Foggia, Viale L. Pinto, 71100 Foggia, Italy

    N. Muscatiello, V. De Francesco & V. Stoppino

  2. Hepatogastroenterology Unit, Department of Experimental Medicine, University of Napoli, Via S. Pansini, 5-80131 Naples, Italy

    R. Cuomo

  3. Department of Gastroenterology, University of Foggia, c/o Ospedali Riuniti, Viale L. Pinto, 71100 Foggia, Italy

    M. Gentile, C. Panella & E. Ierardi

  4. General Medicine Unit, “Ospedali Riuniti” of Foggia, Viale L. Pinto, 71100 Foggia, Italy

    A. Contillo & A. Salcuni

  5. General Surgery Unit, “Ospedali Riuniti” of Foggia, Viale L. Pinto, 71100 Foggia, Italy

    C. Natale

Authors
  1. N. Muscatiello
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Cuomo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Gentile
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. V. De Francesco
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. V. Stoppino
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. A. Contillo
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. A. Salcuni
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. C. Natale
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. C. Panella
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. E. Ierardi
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Muscatiello, N., Cuomo, R., Gentile, M. et al. Endoscopic ultrasound localization of a solitary insulinoma of pancreatic tail misdiagnosed as epilepsy: case report. Abdom Imaging 28, 859–861 (2003). https://doi.org/10.1007/s00261-003-0039-5

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-003-0039-5

Search

Navigation