Peritoneal dialysis masking symptoms of an insulinoma uncovered during the perioperative period: a case report

Southern Medical Journal
Robert A Jarrett, Clay A Block

Abstract

A 61-year-old male with a chronic history of renal insufficiency treated with peritoneal dialysis (PD) was discovered to be asymptomatic for an occult insulinoma after peripheral revascularization. The patient's near continuous provision of glucose in the PD fluid acted to conceal symptoms of an insulinoma which was revealed when PD was interrupted. The patient had delayed emergence from general anesthesia resolving with glucose administration, precipitating insulinoma work up.

References

Feb 11, 2003·Critical Care Medicine·Greet Van den BerghePeter Lauwers
Oct 21, 2006·Critical Care Medicine·Greet Van den Berghe

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Citations

Jul 15, 2015·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Aidar R GosmanovCsaba P Kovesdy
Dec 5, 2017·Clinical Medicine Insights. Endocrinology and Diabetes·Luca FoppianiGiancarlo Antonucci
Mar 22, 2019·Case Reports in Endocrinology·Eduardo Lozano-MelendezFabio Solis-Jimenez
Aug 14, 2019·Anesthesiology·Mark J McVeyWolfgang M Kuebler
Jan 1, 2021·Journal of the Endocrine Society·Stephanie KimElizabeth J Murphy

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