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J Zhejiang Univ (Med Sci)  2017, Vol. 46 Issue (6): 662-665    DOI: 10.3785/j.issn.1008-9292.2017.12.14
    
A case of insulinoma complicated with secondary adrenal insufficiency
LI Yao(),CHEN Hui*()
Department of Endocrinology, the Second Hospital of Lanzhou University, Lanzhou 730030, China
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Abstract  

A middle-aged male patient with recurrent hypoglycemia was diagnosed as insulinoma according to the symptoms and the laboratory tests. Laboratory tests also showed low cortisol and adrenocortico-tropic hormone (ACTH) levels, therefore adrenal insufficiency was diagnosed and hydrocortisone was given. The hormone replacement therapy was terminated after surgery, and ACTH and cortisol levels returned to normal.



Key wordsInsulinoma/surgery      Hypoglycemia      Adrenal insufficiency/complications      Case reports     
Received: 22 June 2017      Published: 25 December 2017
CLC:  R58  
Corresponding Authors: CHEN Hui     E-mail: liyao1192@163.com;chenhui@lzu.edu.cn
Cite this article:

LI Yao,CHEN Hui. A case of insulinoma complicated with secondary adrenal insufficiency. J Zhejiang Univ (Med Sci), 2017, 46(6): 662-665.

URL:

http://www.zjujournals.com/med/10.3785/j.issn.1008-9292.2017.12.14     OR     http://www.zjujournals.com/med/Y2017/V46/I6/662


胰岛素瘤合并继发性肾上腺皮质功能不全一例

一例中年男性反复发生低血糖的患者,经过各项相关检查诊断为胰岛素瘤。患者促肾上腺皮质激素和皮质醇水平低,推测存在继发性肾上腺皮质功能不全,补充糖皮质激素后行胰岛素瘤切除术。术后停激素替代疗法,患者促肾上腺皮质激素和皮质醇水平正常,生理节律恢复。


关键词: 胰岛素瘤/外科学,  低血糖症,  肾上腺功能减退/并发症,  病例报告 
Fig 1 Abdominal enhanced CT before surgery
Fig 2 Pathological examination of the specimen during operation
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