ISLET CELL ADENOMA IN THE NEWBORN: REPORT OF TWO PATIENTS

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Abstract
Islet cell adenoma is a rare cause of severe neonatal hypoglycemia. Two cases are reported and difficulties in diagnosis are outlined. In one infant, cure followed subtotal pancreatectomy at the age of 19 days. It is suggested that severe hypoglycemia of obscure origin persisting beyond the age of 2 weeks in a newborn infant of normal birth weight and not responding to standard medical measures, justifies exploration of the pancreas. Even if an islet-cell tumor is not identified, subtotal pancreatectomy is indicated.

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