Anesthetic management of a case of insulinoma

  • Neeta Santha Kasturba Medical College, Manipal University, Mangalore (India)
  • Upadya Madhusudan Kasturba Medical College, Manipal University, Mangalore (India)
  • Padmini Viswanath Kasturba Medical College, Manipal University, Mangalore (India)
Keywords: nsulinoma, ypoglycemia, Laparoscopy, Neuroendocrine tumors

Abstract

ABSTRACT
Insulinomas are an uncommon cause for recurrent hypoglycemia. Surgical resection is the definitive treatment. We present a case of an 87 year old female patient diagnosed with insulinoma who had history of recurrent hypoglycemic attacks and neurological deficits due to seizure induced hypoxic episodes. Laparoscopic enucleation of the tumor was undertaken. Perioperative management of blood sugar in these patients is of utmost importance. As anesthesiologists our target is to prevent severe hypoglycemic episodes which may lead to permanent neurological damage and severe hyperglycemia post procedure which has to be managed by titrating the dose of insulin and dextrose.
Key words: Insulinoma; Hypoglycemia; Laparoscopy; Neuroendocrine tumors

Published
01-19-2019
How to Cite
Santha, N., Madhusudan, U., & Viswanath, P. (2019). Anesthetic management of a case of insulinoma. Anaesthesia, Pain & Intensive Care, 272-274. Retrieved from https://www.apicareonline.com/index.php/APIC/article/view/98
Issue
Vol.21 No.2(2017): April-June
Section
Case Reports