| 선택적 동맥 칼슘 자극 검사에 의해 진단된 인슐린종 1예 |
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범선희, 심우호, 홍순원, 이은해, 이영미, 김순애, 김은숙, 조민호, 박종숙, 안철우, 김경래 |
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| A Case of Insulinoma Diagnosed by a Selective Arterial Calcium Stimulation Test |
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Sun Hee Beom, Woo Ho Shim, Soon Won Hong, Eun Hae Lee, Young Mi Lee, Soon Ae Kim, Eun Sook Kim, Min Ho Cho, Jong Suk Park, Chul Woo Ahn, Kyung Rae Kim |
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| Abstract |
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We report a case with insulinoma diagnosed by a preoperative selective intra-arterial calcium stimulation test. A 49-year-old woman visited our hospital due to recurrent dizziness, fatigue and lightheadedness. Hyperinsulinemic hypoglycemia was suspected, but imaging studies including pancreatic magnetic resonance imaging and endoscopic ultrasonography failed to detect a pancreatic mass. We performed a selective intra-arterial calcium stimulation test. The insulin level in the patient`s hepatic vein increased when calcium was injected into the superior mesenteric artery, suggesting the presence of an insulinoma in the pancreatic body. After enucleation of the tumor, the patients symptoms of hypoglycemia improved. (Korean Clinical Diabetes J 11:243-246, 2010) |
| Key Words:
Hypoglycemia, Insulinoma, Selective intraarterial calcium stimulation test |
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