Insulinoma Causing Prolonged Hypoglycaemic Coma
Published: August 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/19433.8245
Prabhat Kumar, Ajay Chauhan, Juhi Dixit, Jyotsana, Harish Gupta
1. Senior Resident, Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India.
2. Associate Professor, Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India.
3. Postgraduate Resident, Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India.
4. Postgraduate Resident, Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India.
5. Associate Professor, Department of Medicine, PGIMER and Dr RML Hospital, New Delhi, India.
Correspondence
Dr. Prabhat Kumar,
C/O Dr. Ajay Chauhan, Associate Professor, Room No. 105, Academic Block,
PGIMER and Dr RML Hospital, New Delhi-110001, India.
E-mail: drkumar.prabhat@gmail.com
Insulinoma is a rare pancreatic endocrine tumour with an incidence of four cases per million per year. A recurrent episode of fasting hypoglycaemia is the most common manifestation of these tumours. Diagnosis is often delayed due to varied presentation but once diagnosed, prognosis is often good after surgical resection of the lesion. Severe hypoglycaemia in insulinoma causing coma and death is rare. We report a case of hypoglycaemic coma secondary to an insulinoma in an elderly man which proved fatal.
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