Presentation
Repeated fasting hypoglycemia was always less than 45 mg/dL, with immediate relief of symptoms after the IV glucose.
Patient Data
Two small, well-defined pancreatic nodules (body and tail), hypointense on T1 and T1 fat sat, iso- to slightly hyperintense on T2 and T2 fat sat, with restricted diffusion mainly of the nodule located in the pancreatic tail. Both nodules show vivid enhancement on the arterial phase with rapid wash-out on the portal phase. The nodule located in the pancreatic tail shows restricted diffusion.
Case Discussion
The clinical presentation and the MRI features are suggestive of an endocrine tumor of the pancreas (insulinomas).
Insulinomas are the most common sporadic endocrine tumor of the pancreas. On imaging, they are usually seen as small, well-defined hypervascular nodules that may be located anywhere in the pancreas.
Unable to process the form. Check for errors and try again.