Abstract

Introduction: Insulinomas are a rare group of neuroendocrine tumors. Ninety percent are benign and most are solitary. They can have varied presentations and long-standing history of symptoms. Mostly people are affected in fourth to sixth decades of life. Insulinomas can have association with multiple endocrine neoplasia type 1 (MEN) however typically they are sporadic. Most are solitary and benign. Most common presentation is symptomatic hypoglycemia. After investigations, surgery is the treatment of choice and can offer cure. Laparoscopic surgery can offer all the benefits of minimally invasive surgery and equal oncological outcomes in high volume and dedicated centers. 3D laparoscopy further improves outcomes.
Case Presentation: This case presentation is about an 80-year-old female who presented with long standing symptoms. After biochemical and radiological investigation, she was treated with 3-D laparoscopic distal pancreatectomy. Histopathology was consistent with insulinoma and she had resolution of symptoms.
Conclusion: Insulinoma is a rare tumor and proper management is multidisciplinary. Proper management leads to rapid cure and resolution of the symptoms.

Key words: insulinoma, neuroendocrine, laparoscopy, 3-D laparoscopy, Endoscopic ultrasound, multiple endocrine neoplasia