A Case of 'Camouflaged Insulinoma & Diazoxide Quandary

Insulinomas are rare cause of neuroendocrine tumour which secretes insulin leading to hyperinsulinism. Diagnosis requires biochemical evaluation followed by localization. We report a case an adult women, who, had multiple admissions with dizziness, funny turns and double vision for at least 2 years seen the medical specialties before diagnosis Insulinoma was made. Endoscopic Ultrasound finally localized despite negative results on non-invasive imaging modalities. Prior localization tumour, she treated dietary modifications Diazoxide, which, abandon due refractory fluid overload as result it. A trial SC Octreotide started excellent whilst waiting surgery. She underwent laparoscopic distal pancreatectomy 22/02/2019.