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KMID : 0870420040080030202
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2004 Volume.8 No. 3 p.202 ~ p.205
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Nesidioblastosis with Hyperinsulinemic Hypoglycemia in Adult
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Lee Young-Bin
Kim Chul-Nam
Heo Tae-Kil
Kim Ki-Hong
Lee Myung-Soo
Chang Surk-Hyo
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Abstract
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Nesidioblastosis is a term that describes the prolonged differentiation of islets of Langerhan´s cells from the epithelium of the pancreatic duct. Nesidioblastosis is a primarily childhood disease, which is often associated with hyperinsulinemic hypoglycemia, but rarely found in adults. A 62-year-old man with hyperinsulinemic hypoglycemia complained of general weakness and mental change while fasting. Abdominopelvic CT, celiac angiography, intra-arterial calcium stimulation test and endoscopic ultrasonography did not reveal any tumor in the pancreas. A subtotal pancreatectomy (nearly 80% of pancreas was removed) was then carried out. He was diagnosed with nesidioblastosis inform the pathology after the operation. Herein, our experience of a 62-year-old Nesidioblastosis patient is reported.
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KEYWORD
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Nesidioblastosis, Hyperinsulinemic Hypoglycemia
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