Nizameddin Koca*, Soner Cander, Ozen Oz Gul and Nesrin Uğraş Pages 1 - 7 ( 7 )
Aim: To present an insulinoma case with post-prandial hypoglycemic symptoms associated with glucose inducible endogenous hyperinsulinemia.Case: A 52-year-old female patient was evaluated for hypoglycemic symptoms especially those occuring within 3 hours after consuming sugary foods. These symptoms were persistent for a year and a half. She was diagnosed with reactive (post-prandial) syndrome and followed a recommended diet and was given acarbose but there was no improvement. The results suggested post-prandial endogenous hyperinsulinemia related hypoglycemia. Multiphasic computerized tomography revealed an 11x15x12 mm size mass lesion, anteriorly in the head anduncinate process of the pancreas and then the patients were treated surgically with pancreatic enucleation and cured. Conclusion: Distinguishing post-prandial syndrome by careful history and clinical evaluation in patients with postprandial symptoms is of great importance in terms of cost-effectivity. However, it should not be forgotten that although organic pathologies are mostly presented with fasting hypoglycemia, they may also cause post-prandial symptoms. Severity and progression of the symptoms that point to neuroglycopenia is important, and in this condition the most convenient clinical approach to the patient should be performed with careful and appropriate assessment steps.
Insulinoma, reactive hypoglycemia, post-prandial hypoglycemia.
University of Health Sciences, Bursa Yüksek Ihtisas Training and Research Hospital, Internal Medicine, Bursa,, Uludağ University Medical School, Endocrinology and Metabolism, Bursa,, Uludağ University Medical School, Endocrinology and Metabolism, Bursa,, Uludağ University Medical School, Department of Pathology, Bursa