Endocrinologist, Woden Valley Hospital.
Pregnancy Complicated by an Insulinoma
Article first published online: 28 JUN 2008
Australian and New Zealand Journal of Obstetrics and Gynaecology
Volume 23, Issue 3, pages 176–179, August 1983
How to Cite
Wilson, J. D. and Hugh, T. B. (1983), Pregnancy Complicated by an Insulinoma. Australian and New Zealand Journal of Obstetrics and Gynaecology, 23: 176–179. doi: 10.1111/j.1479-828X.1983.tb00570.x
- Issue published online: 28 JUN 2008
- Article first published online: 28 JUN 2008
Summary: The case of a 33-year-old patient suffering from severe hypoglycaemia due to an insulinoma during the first trimester of pregnancy is reported. The diagnosis was established on clinical grounds and by the demonstration of hypoglycaemia, inappropriate hyperinsulinism and an increase in the percentage of circulating proinsulin. Dietary therapy maintained blood glucose at a satisfactory level from the 9th to the 17th gestational week. Localization of the tumour was achieved at that time by limited CT scanning with a narrow field. A 2 cm tumour was removed from the head of the pancreas and the blood sugar levels and insulin secretion returned to normal. Pregnancy proceeded normally and a healthy male infant weighing 3,880g was delivered at term. Ten months after delivery both mother and child were well.