A Case of Nesidioblastosis Diagnosed by Pancreatic Autopsy
Sumie OhniToshinori OinumaMasahiko SugitaniShino ChinenHidetoshi FujitaHiroshi KanamaruMasami MakimotoShigeharu HosonoMamoru AyusawaTatsuhiko UragamiMichiyoshi MinatoTomoo OkadaHideo MugishimaNorimichi Nemoto
Abstract
新生児の内科治療に反応しない重篤な低血糖の原因として，稀ではあるが，膵島細胞症が知られている．我々は緊急帝王切開で出生後，持続性高インスリン血症性低血糖症を呈し，心不全と感染症を併発，死亡後，膵局所の剖検が行われた症例を経験した．病理組織学的には ductulo-insular complex 像を呈していた．このような経過をとる症例の病態機序を明らかにし，治療を考える上で重要であると考え報告する．
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