PMID- 16796455 OWN - NLM STAT- MEDLINE DCOM- 20061130 LR - 20060626 IS - 1092-6429 (Print) IS - 1092-6429 (Linking) VI - 16 IP - 3 DP - 2006 Jun TI - Laparoscopic management of insulinoma in a child with multiple endocrine neoplasia type 1. PG - 335-8 AB - The diagnosis and surgical management of insulinomas associated with multiple endocrine neoplasia type 1 (MEN1) pose additional problems in children because of the long-term risk of recurrence of other pancreatic and non-pancreatic tumors. We report a diagnostic confirmation by laparoscopic ultrasound of an insulinoma and its successful removal by laparoscopic enucleation in an 8- year-old boy who was admitted to our hospital with a history of recurrent episodes of absences, headache, and visual and auditive disturbances diagnosed as hyperinsulinism-related hypoglycemia. Magnetic resonance imaging of the pancreas showed a small contrast-enhancing lesion in the body of the pancreas, suspected for insulinoma. MEN1 was genetically proven by direct DNA testing. A pancreatic tumor can arise before the age of 10 in patients with MEN1 and can be surgically treated by a laparoscopical approach. FAU - de Vogelaere, Kristel AU - de Vogelaere K AD - Department of Surgery, Vrije Universiteit Brussel, Brussels, Belgium. hlkdvek@az.vub.ac.be FAU - De Schepper, Jean AU - De Schepper J FAU - Vanhoeij, Marjan AU - Vanhoeij M FAU - De Mey, Johan AU - De Mey J FAU - Goossens, Anita AU - Goossens A FAU - Vanbesien, Jesse AU - Vanbesien J FAU - De Backer, Antoine AU - De Backer A FAU - Delvaux, Georges AU - Delvaux G LA - eng PT - Case Reports PT - Journal Article PL - United States TA - J Laparoendosc Adv Surg Tech A JT - Journal of laparoendoscopic & advanced surgical techniques. Part A JID - 9706293 SB - IM MH - Child MH - Diagnostic Imaging MH - Humans MH - Insulinoma/*pathology/*surgery MH - Laparoscopy/*methods MH - Magnetic Resonance Imaging MH - Male MH - Multiple Endocrine Neoplasia Type 1/*pathology MH - Pancreatic Neoplasms/*pathology/*surgery EDAT- 2006/06/27 09:00 MHDA- 2006/12/09 09:00 CRDT- 2006/06/27 09:00 PHST- 2006/06/27 09:00 [pubmed] PHST- 2006/12/09 09:00 [medline] PHST- 2006/06/27 09:00 [entrez] AID - 10.1089/lap.2006.16.335 [doi] PST - ppublish SO - J Laparoendosc Adv Surg Tech A. 2006 Jun;16(3):335-8. doi: 10.1089/lap.2006.16.335.