Presentation
Fasting hypoglycemia (less than 50 mg / dL).
Patient Data
There is a hypervascular nodule in the head of the pancreas. Apart from age-related atrophic changes, the pancreas has otherwise normal appearances.
Arterial phase: hypervascular nodule in the head of the pancreas.
Case Discussion
Insulinoma is a tumor that belongs to the group of neuroendocrine tumors of the pancreas, although rare, is the most common among them.
The well-differentiated pancreatic neuroendocrine tumors usually present as hypervascular nodules in the arterial phase examinations (CT and MRI).
The appearances are highly suggestive for a NET of the pancreas, insulinoma is a presumptive diagnosis based on the clinical history.