Endoscopic ultrasound-guided radiofrequency ablation of pancreatic insulinoma
Abstract
A man in his mid-30s presented to the emergency department following a motor vehicle accident with critically low blood glucose of 1.1 mmol/L (3.9-5.6 mmol/L) noted by emergency medical service and altered mental status. The patient reported progressive symptoms including tremor, sweating and difficulty concentrating, requiring continuous eating throughout the day, weight gain and hypoglycaemia unawareness.A 72-hour supervised fast confirmed endogenous hyperinsulinaemia, after 5 hours, inappropriately elevated insulin of 26 pmol/L (diagnostic cut-off ≥18 pmol/L) and C-peptide >0.33 nmol/L (expected
Fields of Study & Subjects
Neuroendocrine Tumor Research Advances
Pancreatic function and diabetes
Pituitary Gland Disorders and Treatments
Publication details
- Journal / source
- BMJ Case Reports
- Volume
- 19
- Issue
- 1
- Pages
- e269256–e269256
- Publication date
- 1 January 2026
- Language
- EN