PT  - JOURNAL ARTICLE
AU  - Karawagh, Abdullah M.
AU  - Abdullah, Layla S.
AU  - Gasim, Abdelhamid M.
AU  - Abdelaziz, Muntasir M.
TI  - Noninsulinoma pancreatogenous hypoglycemia syndrome in a Saudi male
DP  - 2008 Nov 01
TA  - Saudi Medical Journal
PG  - 1654--1657
VI  - 29
IP  - 11
4099  - http://smj.org.sa/content/29/11/1654.short
4100  - http://smj.org.sa/content/29/11/1654.full
SO  - Saudi Med J2008 Nov 01; 29
AB  - Nesidioblastosis is focal or diffuse islet hyperplasia leading to hyperinsulinism with subsequent hypoglycemia in the absence of insulinoma, usually described in neonates and infancy. We described the first adult case of nesidioblastosis in Saudi Arabia and the Gulf region. The diagnosis and treatment of the condition can be very difficult and challenging. Despite the fact that our patient responded initially to surgical treatment, his hypoglycemic symptoms occasionally recurred and needed adjunctive medical treatment. Although initially thought to affect only infants and children, cases of nesidioblastosis can affect adults and pose a diagnostic and therapeutic challenge to the clinicians.