Dnyanamay

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We report a case of a 67-year-old male patient with an insulinoma of pancreas at the junction of body and tail. He underwent a laparoscopic spleen preserving distal pancreatectomy. Patient presented with episodes of giddiness and drowsiness for past 4 months. There was also history of tremor on exertion since 4 months. His symptoms improved with intake of food. During his episodes his blood sugar levels ranging from 35 mg%-50 mg%. Patient was thoroughly evaluated. USG abdomen and MRI abdomen showed normal study. His fasting serum insulin level raised with normal ACTH and cortisol level. DOTA PET Scan suggestive of focal octreotide receptor expressing lesion at the junction of body and tail of pancreas. There were no postoperative complications, and the patient was discharged from the hospital on day 6. The patient was ambulatory soon after the procedure. He was allowed to take oral liquids after 12 hrs post surgery, and his hospital stay was short; therefore, the surgery was judged to have been highly useful.
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