Pancreatic insulinoma combined with glucagon positive cell: A case report

Table 3 Reports of coexistent cases of pancreatic insulinoma and glucagonoma in Japan

Case	Age (yr)	Gender	Chief compliant	Definitive diagnostic procedure	Preoperative diagnosis	Operative procedure	Postoperative diagnosis
1[18]	24	M	Consciousness disturbance	ASVS + AG	Six insulinoma at pancreatic tail	DP	Five insulinomas and two glucagonomas
2[19]	73	F	Consciousness disturbance	ASVS	One insulinoma at the region of GDA perfusion	enucleation	One insulinoma and one glucagonoma
3[20]	21	M	Consciousness disturbance	ASVS	One insulinoma at the region of SpA perfusion	1st enucleation, 2nd DP	One insulinoma and one glucagonoma
4[21]	60	F	Consciousness disturbance	AG	One insulinoma at pancreatic tail	DP	One insulinoma and one glucagonoma
5[22]	59	F	Consciousness disturbance	CT	One insulinoma at pancreatic tail	DP	One insulinoma and one glucagonoma
6 (our case)	70	M	Fasting hypoglycemia	CT + EUS	One insulinoma at pancreatic tail	DP	One insulinoma and one glucagonoma

ASVS: Arterial stimulation and venous sampling; AG: Angiography; CT: Computed tomography; EUS: Endoscopic ultrasound; GDA: Gastroduodenal artery; SpA: Splenic artery; DP: Distal pancreatectomy; M: Male; F: Female.