[68Ga]-DOTATOC-PET-CT in non-insulinoma pancreatogenic hypoglycemia syndrome (NIPHS)
AAR Starke, WH Knapp, R Köster, PE Goretzki · Diabetologie und Stoffwechsel · 2007 · Heft 08
Bibliografische Angaben
Zusammenfassung
Non-insulinoma pancreatogenic hypoglycemia syndrome (NIPHS) in contrast to insulinoma is characterized by postprandial hypoglycemia, a negative fasting test and negative conventional imaging. We report a patient without biochemical evidence of an insulinoma in whom we were able to visualize for the first time enhanced somatostatin receptor activity in the pancreatic head by means of [68Ga]-DOTATOC-PET-CT fusion imaging. Methods: Diagnosis of NIPHS was suspected in a 57 year old male non-obese patient after a neuroglycopenic attack initially mistaken for stroke. Postprandial hypoglycemia but absence of fasting hy…