naa a22 4500 510813461 CHVBK 20180411083453.0 cr unu---uuuuu 180411e20130201xx s 000 0 eng 10.1007/s12328-012-0335-0 doi (NATIONALLICENCE)springer-10.1007/s12328-012-0335-0 Adult-onset diffuse nesidioblastosis causing hypoglycemia [Elektronische Daten] [Yasuharu Maeda, Kazunori Yokoyama, Kenichi Takeda, Jyouji Takada, Hiromi Hamada, Yasunori Hujioka, Shin-ei Kudo] We report the case of a 32-year-old male with adult-onset diffuse nesidioblastosis causing hypoglycemia. Under the tentative diagnosis of insulinoma, localization procedures were carried out but no tumor was found. The presence of an insulinoma in the tail of the pancreas was suggested by selective intra-arterial calcium stimulation with hepatic venous sampling (ASVS). A distal pancreatectomy was performed under the assumed diagnosis of insulinoma in the tail based upon the ASVS. Diffuse nesidioblastosis was diagnosed by histopathological evaluation. During the post-operative course, the patient's glucose and insulin levels were well controlled and uneventful without any medications or insulin for 7months. Springer Japan, 2012 Hypoglycemia nationallicence Nesidioblastosis nationallicence ASVS nationallicence Maeda Yasuharu Department of Gastroenterology, Nikko Memorial Hospital, Muroran, Japan aut Yokoyama Kazunori Department of Gastroenterology, Nikko Memorial Hospital, Muroran, Japan aut Takeda Kenichi Department of Gastroenterology, Nikko Memorial Hospital, Muroran, Japan aut Takada Jyouji Department of Surgery, Nikko Memorial Hospital, Muroran, Japan aut Hamada Hiromi Department of Surgery, Nikko Memorial Hospital, Muroran, Japan aut Hujioka Yasunori Department of Pathology, Nikko Memorial Hospital, Muroran, Japan aut Kudo Shin-ei Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohoma, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/1(2013-02-01), 50-54 1865-7257 6:1<50 2013 6 12328 https://doi.org/10.1007/s12328-012-0335-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-012-0335-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Maeda Yasuharu Department of Gastroenterology, Nikko Memorial Hospital, Muroran, Japan aut NATIONALLICENCE 700 1- Yokoyama Kazunori Department of Gastroenterology, Nikko Memorial Hospital, Muroran, Japan aut NATIONALLICENCE 700 1- Takeda Kenichi Department of Gastroenterology, Nikko Memorial Hospital, Muroran, Japan aut NATIONALLICENCE 700 1- Takada Jyouji Department of Surgery, Nikko Memorial Hospital, Muroran, Japan aut NATIONALLICENCE 700 1- Hamada Hiromi Department of Surgery, Nikko Memorial Hospital, Muroran, Japan aut NATIONALLICENCE 700 1- Hujioka Yasunori Department of Pathology, Nikko Memorial Hospital, Muroran, Japan aut NATIONALLICENCE 700 1- Kudo Shin-ei Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohoma, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/1(2013-02-01), 50-54 1865-7257 6:1<50 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer