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Surgical resection of pancreatic insulinoma during pregnancy: Case report and literature review.
de Albuquerque Neto, Carlos Castanha; da Silva Lira, Natália; Albuquerque, Marcelo A R C; Santa-Cruz, Fernando; de França M Vasconcelos, Laís; Ferraz, Álvaro A B; Costa, Adriano C.
Afiliação
  • de Albuquerque Neto CC; General Surgery Unit, Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
  • da Silva Lira N; General Surgery Unit, Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
  • Albuquerque MARC; General Surgery Unit, Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
  • Santa-Cruz F; School of Medicine, Federal University of Pernambuco, Recife, PE, Brazil. Electronic address: f.santacruzoliveira@gmail.com.
  • de França M Vasconcelos L; School of Medicine, Federal University of Pernambuco, Recife, PE, Brazil.
  • Ferraz ÁAB; General Surgery Unit, Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil; Department of Surgery, Federal University of Pernambuco, Recife, PE, Brazil.
  • Costa AC; Department of Surgery, Federal University of Pernambuco, Recife, PE, Brazil; Oncology Unit, Federal University of Pernambuco, Recife, PE, Brazil.
Int J Surg Case Rep ; 61: 119-122, 2019.
Article em En | MEDLINE | ID: mdl-31357102
INTRODUCTION: Insulinomas are neuroendocrine tumors characterized by an excessive secretion of insulin, and its most common primary site is the pancreas. PRESENTATION OF THE CASE: Female, 31 years old, who underwent surgical resection of a pancreatic insulinoma measuring 0.5 × 0.5 cm during the third trimester of pregnancy. The patient started to present characteristic symptoms (hypoglycemia, adrenergic and neuroglycopenic symptoms) 18 months before being referred to our center. It was decided to resect the lesion due to the intensity of the symptoms and failure of the clinical treatment. The postoperative course was uneventful, and the fetus presented good vitality, as evidenced by the obstetric ultrasound. The patient was discharged from the hospital on the 6th postoperative day. The neonate was born at term, 38 weeks, with appropriate weight for gestational age. Today, around 12 months after surgery, the patient and the infant are in good health conditions and have no complaints. CONCLUSION: The moment of the surgical intervention in our case reflects the importance of this report, since it reinforces the feasibility of this procedure during pregnancy.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Int J Surg Case Rep Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Int J Surg Case Rep Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Holanda