RT Journal Article
SR Electronic
T1 Noninsulinoma pancreatogenous hypoglycemia syndrome in a Saudi male
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1654
OP 1657
VO 29
IS 11
A1 Karawagh, Abdullah M.
A1 Abdullah, Layla S.
A1 Gasim, Abdelhamid M.
A1 Abdelaziz, Muntasir M.
YR 2008
UL http://smj.org.sa/content/29/11/1654.abstract
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.