Utility of endoscopic ultrasound multimodal examination with fine needle aspiration for the diagnosis of pancreatic insulinoma - a case report

A. Popescu, Adriana-Mihaela Ciocâlteu, D. I. Gheonea, Sevastiţa Iordache, Carmen Florina Popescu, A. Săftoiu, T. Ciurea

Research Center in Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova


Insulinomas are benign insulin-secreting neuroendocrine tumors originating in the pancreatic beta cells. Symptoms are caused by hypoglycemia and clinical diagnosis is based on establishing their relationship to fasting, usually via a fasting test. The most conclusive imaging tests are endoscopic ultrasound (EUS) and CT. Surgery is the treatment of choice. A 33 year old male presented with a 2-year history of hunger