Young women's repeated hypoglycemia seizures are actually insulin tumors

Four months ago, 37 -year -old Ms. Wang (Hua surname) got a "strange disease": as long as she did not eat, she began to dizzy and weak, panicked, and "hungry" several times. I couldn't find out the reason for many local hospitals. Not long ago, Ms. Wang and her family came to Zhongda Hospital of Southeast University to seek help. Multi -disciplinary consultation of the Department of Endocrinology and Medical Imaging of Zhongda Hospital and the Department of Hepatobiliary Pancreatic Center, successfully drawn out the "culprit". It turned out that everything was caused by insulin tumors.

According to Ms. Wang's family, Ms. Wang some time ago as long as she did not eat for a while, she would easily appear dizzy, weak, panicked, and sweat; these strange symptoms after eating would disappear immediately. Once I got up in the morning, before she had time to eat, she suddenly felt dizzy and weak, and then she was unconscious. The blood sugar was sent to the local hospital for only 1.5 mmore per liter, and the diagnosis of hypoglycemia was diagnosed. The consciousness gradually returned to normal after giving high sugar infusion, but the cause of hypoglycemia was not found. Since then, Ms. Wang has become anxious, and she is always worried that she will faint again because of insufficient food. Whether it is in the bag or pocket, she will put a few packs of candy or snacks, and take it out for a short period of time. After a few months, Ms. Wang had been fat and 12 pounds. Food is no longer a symbol of delicious and happy in her heart, but it has become a life -saving straw that is fearful but indispensable.

The most anxious thing is that in local hospitals, she has done high-end inspections such as CT, magnetic resonance, and PET-CT, but she can't find out the real "culprit" of hypoglycemia. How can this be good? The local doctor urgently contacted the Zhongda Hospital of Southeast University of the higher -level hospital. The next day, Ms. Wang's family came to the CUHK Hospital.

Li Ling, assistant to the dean of the CUHK Hospital and director of the Department of Endocrinology, learned about the patient's situation and told Ms. Wang and her family that the cause of hypoglycemia was more complicated, and they need to be hospitalized for further investigation. Under the guidance of the chief physician of Li Ling, Deputy Chief Physician Yin Han of the Department of Endocrine conducted a comprehensive assessment of Ms. Wang's condition, and eliminated the drug nature, autoimmune, insulin antagonist deficiency, and non -pancling cell tumor through various inspections. Low blood sugar. Ms. Wang once again appeared dizzy and panic in the early morning of the hospital. The test of blood sugar was only 2.2 mlol per liter, while the insulin measured at the same time was as high as 137 Pemol per liter. "Generally, in the case of hypoglycemia, the body will gradually decrease or stop the release of insulin to avoid further reduction of blood glucose. Like Ms. Wang, it is prompted that the existence of endogenous insulin secretion is increasing properly. Combined with many years of clinical experience, we judge insulin tumor Or the islet hyperplasia is the most likely. "Deputy Chief Physician Yin Han introduced.

In order to further confirm the diagnosis, the Department of Endocrinology of the Department of Endocrinology of China University of China and the Department of Medical Imaging and Hepatobiliary Pancreatic Center for multi -disciplinary joint consultation, and found a 1.5cm*2cm lesion at the tail of the pancreas through the high -resolution magnetic resonance multi -term dynamic enhancement technology. The comprehensive consideration is a neurological endocrine tumor (insulin tumor), and there are surgical indications. Subsequently, the hepatoscopy center of the hepatoscopic centers was transferred to the CUHK Hospital. After surgery, Ms. Wang's blood sugar immediately rose from 2.6 mmore before the surgery to 7.33 mmores per liter, and has been in a smooth state, and the symptoms of those "greedy" have completely disappeared.

According to reports, insulin tumors self -secreted excessive insulin often lead to a series of hypoglycemia symptoms such as hunger, body jitter, fatigue, cold sweat, and accelerated heartbeat. In severe cases Hypoglycemia will damage the central nervous nervous function of irreversible ground, with memory loss and mental behavior abnormalities.

Deputy Chief Physician Yin Han said that there are many reasons for hypoglycemia, such as diet, exercise, drugs, and related systemic diseases, especially the low blood sugar caused by islet cytoma. Increased weight, memory and reactiveness decreased. Due to the low incidence of islet tumors and complicated clinical manifestations, clinical misdiagnosis and missed diagnosis are often prone to.

Deputy Chief Physician Yin Han reminds everyone that if symptoms such as dizziness and weakness, panic and shaking, can be relieved after eating, you should consider hypoglycemia. You need to go to a regular hospital in time. The reason for precision treatment for the cause. (Wang Qian Cheng Shouqin)

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