Factitious Hyperinsulinism Leading to Pancreatectomy: Severe Forms of Munchausen Syndrome by Proxy

@article{Giurgea2005FactitiousHL,
  title={Factitious Hyperinsulinism Leading to Pancreatectomy: Severe Forms of Munchausen Syndrome by Proxy},
  author={Irina Giurgea and Tim Ulinski and Guy Touati and Christine Sempoux and Fanny Mochel and Francis Brunelle and Jean Marie Saudubray and C Nihoul F{\'e}k{\'e}t{\'e} and Pascale de Lonlay},
  journal={Pediatrics},
  year={2005},
  volume={116},
  pages={e145 - e148}
}
Clinical history and inappropriate insulin secretion during hypoglycemic episodes permit the diagnosis of hyperinsulinism. We report 2 cases of factitious hyperinsulinism leading to partial pancreatectomy. Case 1 was an 8-year-old girl who presented with severe hypoglycemia and elevated insulin and C-peptide levels. Catheterization of pancreatic veins was performed to localize the excess insulin secretion. Insulinoma was suspected, and partial pancreatectomy was performed. Ten days after… Expand
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