Abstract

POUPARD, Mateo et al. From a neuropsychiatric disorder to the correct diagnosis of insulinoma resolved by major pancreatic resection. Rev. argent. cir. [online]. 2024, vol.116, n.2, pp.152-156.  Epub June 01, 2024. ISSN 2250-639X.  http://dx.doi.org/10.25132/raac.v116.n2.1721.

Insulinomas are rare pancreatic tumors usually benign with an incidence of 0.4%. They are more common in women with a female-to-male ratio of 2:1. It is the most common functioning neuroendocrine tumor of the pancreas and is responsible for 70-75% of hyperinsulinemia in clinical practice1. The diagnosis is often a challenge, and a delay in diagnosis can have serious consequences for the patient. Surgical treatment is curative in more than 90% of cases, and the conservative approach is the treatment of choice whenever possible. We report the case of a cephalic pancreaticoduodenectomy (CPD) due to an insulinoma in a male patient with a previous misdiagnosis of a neuropsychiatric disorder treated with anticonvulsants.

Keywords : insulinoma; cephalic pancreaticoduodenectomy; hyperinsulinism; anticonvulsants; medical error.

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