Searchable abstracts of presentations at key conferences in endocrinology

ea0019p173 | Endocrine tumours and neoplasia | SFEBES2009

Metastatic insulinoma with persistent hypoglycaemia

Geevarghese C , Lim M , Sirohi B , Appleton D , Chatterjee V , Simpson H

A 67-year-old lady presented with hypoglycaemic coma, treated with dextrose infusion. Previously she had a 3-month history of weight gain with increasingly frequent episodes of shaking and blurred vision, particularly at night, relieved by food.A 72-hour fast was undertaken. Within 2 h, she became confused. Serum glucose was 1.1 mmol/l with serum insulin 527 pmol/l (0–60 pmol/l), proinsulin 320 pmol/l (0–7 pmol/l) and C-peptide 2991 pmol/l (174...

ea0011p61 | Clinical case reports | ECE2006

Metastatic insulinoma or not?

Myint KS , Semple RK , MacFarlane I , Appleton D , Praseedom RK , Simpson H , Wood DF , Chatterjee VKK , Gurnell M

The localization of biochemically proven insulinoma remains a challenge despite the advent of more sensitive methods for radiological detection. We report a case with conflicting cross-sectional, angiographic and scintigraphic findings, in which selective angiography combined with intra-arterial calcium stimulation and hepatic venous sampling (ASVS) proved to be the most accurate localizing investigation.A 17-year-old female with cerebral palsy and learn...