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Recurrent Severe Hypoglycemia in a 43 Year Old Extreme Obese Woman with Insulinoma: A Case Report Zaki Mita Kusumaadhi; Farah Hendara Ningrum; Bambang Satoto; Titik Yuliastuti; Y. F. Rahmat Sugianto; Etisa Adi Murbawani; Didik Indiarso; Erik Prabowo; Tania Tedjo Minuljo; Yohana Prima Ceria Anindita; K. Heri Nugroho HS; Meira Dewi Kusuma Astuti
‎ InaJEMD - Indonesian Journal of Endocrinology Metabolic and Diabetes Vol. 2 No. 2 (2025): InaJEMD Vol. 2, No. 2
Publisher : PP PERKENI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66266/inajemd.v2i2.66

Abstract

Insulinomas are very rare neuroendocrine tumors (4 cases per million individuals per year) leading to insulin hypersecretion and occurring more often in women at any age. A 43 year old extreme obese woman was referred to Dr Kariadi General Hospital with complaints history of repeated unconsciousness due to recurrent episodes of symptomatic severe hypoglycaemia (previously been hospitalized several times in regional hospitals in last six years). Physical examination: Body Mass Index Class II obesity (Asia-Pacific). Laboratory: recurrent hypoglycaemia (random blood glucose range 30-50 mg/dL), Fasting Blood Glucose 105 mg/dL (n: 80-109), 2 hours Postprandial Blood Glucose 44 mg/dL (n: 80- 140), C-peptide levels (taken during hypoglycaemia) 13.59 ng/ml (n:1.1-4.4). Abdominal Ultrasonography : grade 2 fatty liver, Fibroscan: no fibrosis or steatosis, Plain Head MSCT: no visible abnormalities, contrast abdominal magnetic resonance imaging: solid lesion in the body of pancreas (AP 1.2 x LL 1.2 x CC 1.3 cm) tends to be a picture of insulinoma. Patient underwent distal pancreatectomy with immunohistochemical results of an insulinoma. Post surgery the patient never had hypoglycaemia. We described a 43 year old extreme obese woman with recurrent episodes of symptomatic severe hypoglycaemia. Laboratory (low random blood glucose, high C-peptide) and imaging examinations (solid lesion in the body of the pancreas on Contrast Abdominal MRI) support the diagnosis of insulinoma. Surgery is the treatment of choice for insulinomas. Patients with recurrent severe hypoglycemia, increase in C-peptide levels and solid lesion in pancreas are clinical manifestations of Insulinoma.
Co-Authors A Fahmy Arif Tsani A Fahmy Arif Tsani Adinda Maharani Af Idah Nur Chauliyah, Af Idah Nur Agustya Dewi Anggraini Ahmad Syauqy Alfadila, Tsania Izza Ali Manfaluthi Ahmad Amalia Sukmadianti Amalia Sukmadianti Amalia Sukmadianti Ana Betal Haq Anis Nuraini Annta Kern Nugrohowati Anwar, Rylandnia Sucha Arima, Lia Andriani Titik Arum Bunga Pertiwi Aryu Candra Astri Pratiwi, Astri Aufa, Mahya Ayu Rahadiyanti Bambang Satoto Binar Panunggal Brotoarianto, Happy Kurnia Camelia Bomaztika Sari Citta Cendani Daniartama, Bela Darmono SS Darmono SS Deny Yudi Fitranti Deny Yudi Fitranti Deny Yudi Fitranti Dewi Masitha Dewi, Suci Noviya Didik Indiarso Dwi Arum Sulistyaningsih Dwi Pudjonarko Eiyta Ardinasari Enny Probosari Erik Prabowo Etika Ratna Noer Fachrana Fachrana Farah Hendara Ningrum Fatimah Muis, Siti Fatimah, Putri Nur Febe Christianto Fillah Fithra Dieny Fitriani, Luthfia Indra Fredian Suhardinata, Fredian Gheby Soraya S Gusria Yuana Hagnyonowati Hagnyonowati Handayani, Endah Nur Hapsari, Prima Kusuma Hartanti Sandi Wijayanti Hastuti, Vivilia Niken Heidi Listya Heri Nugroho Hertanto Wahyu Subagio Hertanto Wahyu Subagyo Husna, Adisty Nurul Ira Mulyani Izzaty Izzul Hawa, Izzaty Izzul Jennifer Setiawan K. Heri Nugroho HS Khairuddin Khairuddin Khoiriyah, Dian Khusna, Fera Hidayatul Kirana, Stela Maris Adinda Budi Kusnadi, Gita Lailatul Firiana Lana Alfiyana Luluk Hidayatul Maghfiroh MARTHA ARDIARIA Meira Dewi Kusuma Astuti Minidian Fasitasari Muhammad Ryan Radifan Gustisiya Muhammad Sulchan Muhammad Sulchan Mulyani, Ira Nabila, Rumaisha NANI WAHYUNI Nathalia Safitri Niken Puruhita Nissa, Choirun Novi Diah Pusparini Nugroho, M. Arif Nurhasanah Nurhasanah Nurmasari Widyastuti Nurmasari Widyastuti Nurrohmiati, Siti Oksidriyani, Safrina Prabu Giusta Nugraha Pristina Adi Rachmawati, Pristina Adi Putri Nur Fatimah Putri Wohing Ati Rachma Purwanti Rachmayanti, Annisa Alifaradila Renjani Gina Ramadhani Restutiwati, Fidi Risky Wijaya Utami Rizkita, Maura Sania Sahid, Ayu Prahartini Nur Sefri Noventi Sofia Sekar Ratry Nurramadhani Siallagan, Rini Martina SIGIT ADIANTO Siti Fatimah Muis Siti Fatimah Muis Siti Fatimah Muis Siti Fatimah Muis Sugiri, Sugiri Sulistyaningnagari, Putri Gayatri Tania Tedjo Minuljo Tiara Aris Dahriani Titik Yuliastuti Tri Agrina Tri Damayanti, Tri Tsani, A Fahmy Arif Tsani, Ahmed Fahmy Arif Tugasworo Pramukarso, Dodik Utami, Sulistiyati Bayu Winarto, Zahra Qurrota A'yun Y. F. Rahmat Sugianto Yohana Prima Ceria Anindita Yudomurti Yudomurti Yuliyani, Ni Nyoman Sri Yunita, Rhona Dian Yushila Meyrina Zaki Mita Kusumaadhi