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BibTeX
Selective intra‐arterial calcium injection in the investigation of adult nesidioblastosis: a case report
Diabetic medicine, 1997-11, Vol.14 (11), p.985-988
Lee, W.‐L.
Won, J.G.S.
Chiang, J.‐H.
Hwang, J.‐I.
Lee, C.‐H.
Tsay, S.‐H.
1997
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Lee, W.‐L.
Won, J.G.S.
Chiang, J.‐H.
Hwang, J.‐I.
Lee, C.‐H.
Tsay, S.‐H.
Titel
Selective intra‐arterial calcium injection in the investigation of adult nesidioblastosis: a case report
Ist Teil von
Diabetic medicine, 1997-11, Vol.14 (11), p.985-988
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
1997
Quelle
MEDLINE
Beschreibungen/Notizen
A 69‐year‐old man with recurrent hypoglycaemia had inappropriately elevated plasma insulin level during a symptomatic hypoglycaemia, but had a negative prolonged fast. Computerized tomography (CT) of the abdomen revealed a nodular lesion over the body of pancreas, whereas pancreatic arteriography failed to show tumour blush. Hence, arterial stimulation (with calcium) and venous sampling (ASVS) was performed and a brisk response of plasma insulin level was found when calcium was injected both into the splenic and the superior mesenteric arteries. Since no tumour was found during the operation, the patient received subtotal distal pancreatectomy. Pathological examination of the resected tissue disclosed a typical finding of nesidioblastosis. We suggest that selective intra‐arterial calcium injection with hepatic venous sampling for insulin gradients is useful for the diagnosis of adult nesidioblastosis. © 1997 John Wiley & Sons, Ltd.
Sprache
Englisch
Identifikatoren
ISSN: 0742-3071
eISSN: 1096-9136, 1464-5491
DOI: 10.1002/(SICI)1096-9136(199711)14:11<985::AID-DIA483>3.0.CO;2-L
Titel-ID: cdi_proquest_miscellaneous_79458437
Format
–
Schlagworte
Aged
,
ASVS
,
Biological and medical sciences
,
Blood Glucose - metabolism
,
C-Peptide - blood
,
Calcium - administration & dosage
,
Endocrine pancreas. Apud cells (diseases)
,
Endocrinopathies
,
Humans
,
hypoglycaemia
,
Injections, Intra-Arterial
,
Insulin - blood
,
Islets of Langerhans - pathology
,
Male
,
Medical sciences
,
Mesenteric Artery, Superior
,
nesidioblastosis
,
Pancreatectomy
,
Pancreatic Diseases - diagnosis
,
Pancreatic Diseases - pathology
,
Pancreatic Diseases - surgery
,
Splenic Artery
,
Tumors. Hypoglycemia
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