A case of pre-operative endoscopic management of a small pancreatic insulinoma

Abstract Text We present a case of a 57-years old woman with a FNB diagnosis of insulinoma in the body of the pancreas with a size of 13 mm; during the diagnostic work up in MRI a pancreas divisum was discovered. Due to the small size of the lesion, a laparoscopic enucleation was planned. Before surgery she was referred for tattoing of the lesion in EUS to improve lesion’s localization. In the same session a prophylactic pancreatic duct stent was positioned to reduce the risk of duct damage, acute pancreatitis and the development of fistul [1].

Conflicts of interest

Claudio Giovanni De Angelis is a consultant for Boston Scientific, Olympus and Medi-Globe

• 1 Gress F.G., Barawi M., Kim D.. et al. Preoperative localization of a neuroendocrine tumor of the pancreas with EUS-guided fine needle tattooing. Gastrointest Endosc 55 2002; 594-597

Publication History

Article published online:
14 April 2023