MULTIPLE INSULINOMAS OF THE PANCREAS - A PATIENT REPORT

Whereas there is general agreement about the biochemical diagnosis of hyperinsulinism, the value of imaging to differentiate diffuse from fo cal pancreatic lesions is still a matter of debate. We describe a case of multiple adenomas of the pancreas in an eleven year-old boy. The s ource of hyperinsulinism was detected by pancreatic ultrasound examina tion and confirmed by MRI as a single adenoma of the pancreas. These r adiological exams did not identify three other pancreatic adenomata. O ur report outlines the difficulties in anatomically localizing the sou rce of excessive insulin secretion in cases of hyperinsulinemic hypogl ycemia.