Journal of Anaesthesia & Critical Care Case Reports

Vol 5 | Issue 3 | Sep-Dec 2019 | page: 24-27  | Reshma S Pharande, Vinaya Kulkarni, Rohit Sancheti, Sunita Khedkar

Authors: Reshma S Pharande [1], Vinaya Kulkarni [1], Rohit Sancheti [1], Sunita Khedkar [1]

Address of Correspondence
Dr. Vinaya Kulkarni,
Department of Anaesthesia, BJGMC, Pune, Maharashtra, India
E-mail: vinayabjmc@yahoo.com

1 Department of Anaesthesia, BJGMC, Pune.

Introduction: Insulinoma is a rare neuroendocrine tumor of the pancreas that produces symptoms due to hypersecretion of insulin from β-cells. They are often misdiagnosed or have delayed diagnosis due to their bizarre clinical presentation. Diagnosis is made based on history (Whipple’s triad), biochemical tests and imaging modalities. Surgical resection is the curative treatment. General anaesthesia is an ideal technique as it reduces the cerebral metabolism and oxygen consumption. We present a case of an 45 year old female patient diagnosed with insulinoma who had history of recurrent hypoglycemic attacks. Surgical enucleation of the tumor was undertaken. Perioperative management of blood sugar in these patients is of utmost importance. As anaesthesiologist 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.
Keywords: Insulinoma, Anaesthetic management, Hypoglycemia, Surgical excision, Neuroendocrine tumors

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