Pelvic Retroperitoneum Insulinoma - A Rare Clinical Entity: Case Report
Suhreet Manandhar, Yong Ma, Shiyong Yang, Pengcheng Xi, Zijun Liu
Department of General Surgery, Nanjing First Hospital Affiliated to Nanjing Medical University, 68-Chang Le Road, Jiangsu, Nanjing, China
This present report describes a rare case of extrapancreatic insulinoma in a 53-year-old female who was admitted to the hospital and was managed surgically. The patient had typical clinical features of insulinoma for two years, which was only relieved by oral intake of glucose. Prior to her admission to the hospital, she had visited other hospitals where a diagnosis of insulinoma was made on the basis of her clinical features for which she underwent blind resection of the tail of the pancreas. Postoperatively, her symptoms exaggerated and hence, she was brought to our hospital where we were able to precisely locate and completely excise the tumor from the pelvic retroperitoneum with the help of preoperative and intraoperative localization techniques. With this report, we would like to stress on the need of precise localization of insulinoma to avoid blind resections and to ensure complete removal of the tumor to prevent recurrences.