Near infrared light examination as part of the management of sporadic pancreatic head insulinoma: Case report

Dan Petru Constantinescu; Mihaela Ioana Constantinescu; Razvan Alexandru Ciocan; Stefan Chiorescu; Miana Gabriela Pop; Daniela Simona Pintea; Valentin Muntean

doi:10.1016/j.ijscr.2019.09.024

Near infrared light examination as part of the management of sporadic pancreatic head insulinoma: Case report

Int J Surg Case Rep. 2019:64:35-40. doi: 10.1016/j.ijscr.2019.09.024. Epub 2019 Sep 24.

Authors

Dan Petru Constantinescu¹, Mihaela Ioana Constantinescu², Razvan Alexandru Ciocan², Stefan Chiorescu², Miana Gabriela Pop², Daniela Simona Pintea², Valentin Muntean²

Affiliations

¹ Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj Napoca, Romania. Electronic address: constantinescu.petru@umfcluj.ro.
² Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj Napoca, Romania.

Abstract

Introduction: We report the case of a 77-year-old female patient with the diagnosis of pancreatic head insulinoma, in whom we used near infrared light (NIR) to detect synchronous pancreatic tumors and potential secondary lymph node or liver involvement. The patient presented with hypoglycemia manifesting by lipothymia. With the diagnosis of secretory neuroendocrine tumor (insulinoma) of the pancreatic head, cephalic pancreatoduodenectomy with the preservation of the pylorus was performed after NIR visualization of the pancreatic tumor mass. At 6, 12, 18 months postoperatively, the patient no longer had hypoglycemia and her general state was good.

Conclusion: NIR with indocyanine green (ICG) evidences pancreatic neuroendocrine tumors, as well as possible synchronous tumors and secondary lymph node or liver involvement.

Keywords: Case report; Indocyanine green; Insulinoma; Near infrared light; Pancreatic neuroendocrine tumors.