Insulinoma - Is Diagnostic Delay Inevitable ? Case report and Review of Literature

Insulinoma is very rare tumor, patients present with features of profound hypoglycemia, life threatening coma.high degree of suspicion is required for this rare entity. Many patients are erroneously referred to psychiatrists and neurologists. In majority of the cases there is diagnostic delay of years. Some patients even die due to unnoticed severe hypoglycemia. A young male presented to us with after three years of recurrent attacks of coma, hypoglycemic symptomsin diagnosis .During these three years patient consulted several doctors even at tertiary level hospital. Even specialists missed the insulinoma and patient was erroneously diagnosed to have a psychiatric problem. Insulinoma was diagnosed when patient presented in coma that also by chance. Enucleation was performed patient recovered well and is moving forward with his life happily