The International Journal of Romanian Society of Endocrinology / Registered in 1938

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January - March 2006, Volume 2, Issue 1
Case Report

Spiroiu C, Mazilu A, Jinga M, Mihai AM, Ranetti AE

Diagnostic difficulties in insulinomas. The importance of endoscopic ultrasonography

Acta Endo (Buc) 2006, 2 (1): 95-107
doi: 10.4183/aeb.2006.95

Insulinoma is the most common endocrine tumor of the pancreas. The diagnosis suspicion is usually based on clinical symptoms and is confirmed by biochemical tests. Because the majority of insulinomas have a small size, the real problem is the localization of these tumors before surgery. We present the diagnostic and therapy difficulties, the value of available imaging techniques as well as our experience in five consecutive insulinoma patients from our clinic.

Keywords: insulinoma, hypoglycemic syndrome, endoscopic ultrasonography

Correspondence: Aurelian Ranetti, M.D, Department of Endocrinology, Central Military Hospital, 88, M. Vulcanescu Street, sector 1, Bucharest, Romania, e-mail: