Case Report and Literature Review of Insulinoma in the Geriatric Population: An 86-Year-Old Female with Syncope of Unknown Origin
Insulinomas are extremely rare pancreatic endocrine tumors. The tumor is characterized by endogenous hypersecretion of insulin and ensuing development of symptoms of neuroglycopenia and the catecholaminergic response. Symptoms may not always be present, particularly in patients compensating appropri...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2020/8879776 |
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| author | Gerry Samantha Eichelberger Jordan Carbono Zachary Field KanwarAnoop Kainaur Federico Montalvo |
| author_facet | Gerry Samantha Eichelberger Jordan Carbono Zachary Field KanwarAnoop Kainaur Federico Montalvo |
| author_sort | Gerry Samantha Eichelberger |
| collection | DOAJ |
| description | Insulinomas are extremely rare pancreatic endocrine tumors. The tumor is characterized by endogenous hypersecretion of insulin and ensuing development of symptoms of neuroglycopenia and the catecholaminergic response. Symptoms may not always be present, particularly in patients compensating appropriately with increased appetites and caloric intake due to low glucose levels. Early localization of the disease is essential to prevent lethal hypoglycemia and timely treatment. This case report and literature review depict the case of a pancreatic insulinoma in an 86-year-old female, an exceptionally rare presentation based on age and absence of clinical symptoms for one or more years prior to hospitalization. Despite its rarity, similar presentations have been reported in the literature and are further outlined with characteristics and treatment plans. This case highlights a unique presentation of insulinoma and suggests the need for clinical vigilance and further study. It also discusses diagnosis, localization, and management of this uncommon disease in patients above the age of seventy-five. |
| format | Article |
| id | doaj-art-48e426f832584333bf1cff7e1db1e31f |
| institution | Kabale University |
| issn | 2090-6501 2090-651X |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-48e426f832584333bf1cff7e1db1e31f2025-02-03T05:53:53ZengWileyCase Reports in Endocrinology2090-65012090-651X2020-01-01202010.1155/2020/88797768879776Case Report and Literature Review of Insulinoma in the Geriatric Population: An 86-Year-Old Female with Syncope of Unknown OriginGerry Samantha Eichelberger0Jordan Carbono1Zachary Field2KanwarAnoop Kainaur3Federico Montalvo4Florida State University College of Medicine, 1115 W. Call Street, Tallahassee, FL, 32304, USADepartment of Internal Medicine, Orlando Regional Healthcare, 21 W. Columbia St., Orlando, FL, 32806, USADepartment of Internal Medicine, Orlando Regional Healthcare, 21 W. Columbia St., Orlando, FL, 32806, USADepartment of Pathology, Orlando Regional Healthcare, 52 W. Underwood St., Orlando, FL, 32806, USAFlorida State University College of Medicine, 1115 W. Call Street, Tallahassee, FL, 32304, USAInsulinomas are extremely rare pancreatic endocrine tumors. The tumor is characterized by endogenous hypersecretion of insulin and ensuing development of symptoms of neuroglycopenia and the catecholaminergic response. Symptoms may not always be present, particularly in patients compensating appropriately with increased appetites and caloric intake due to low glucose levels. Early localization of the disease is essential to prevent lethal hypoglycemia and timely treatment. This case report and literature review depict the case of a pancreatic insulinoma in an 86-year-old female, an exceptionally rare presentation based on age and absence of clinical symptoms for one or more years prior to hospitalization. Despite its rarity, similar presentations have been reported in the literature and are further outlined with characteristics and treatment plans. This case highlights a unique presentation of insulinoma and suggests the need for clinical vigilance and further study. It also discusses diagnosis, localization, and management of this uncommon disease in patients above the age of seventy-five.http://dx.doi.org/10.1155/2020/8879776 |
| spellingShingle | Gerry Samantha Eichelberger Jordan Carbono Zachary Field KanwarAnoop Kainaur Federico Montalvo Case Report and Literature Review of Insulinoma in the Geriatric Population: An 86-Year-Old Female with Syncope of Unknown Origin Case Reports in Endocrinology |
| title | Case Report and Literature Review of Insulinoma in the Geriatric Population: An 86-Year-Old Female with Syncope of Unknown Origin |
| title_full | Case Report and Literature Review of Insulinoma in the Geriatric Population: An 86-Year-Old Female with Syncope of Unknown Origin |
| title_fullStr | Case Report and Literature Review of Insulinoma in the Geriatric Population: An 86-Year-Old Female with Syncope of Unknown Origin |
| title_full_unstemmed | Case Report and Literature Review of Insulinoma in the Geriatric Population: An 86-Year-Old Female with Syncope of Unknown Origin |
| title_short | Case Report and Literature Review of Insulinoma in the Geriatric Population: An 86-Year-Old Female with Syncope of Unknown Origin |
| title_sort | case report and literature review of insulinoma in the geriatric population an 86 year old female with syncope of unknown origin |
| url | http://dx.doi.org/10.1155/2020/8879776 |
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