Pancreatic Insulinoma Diagnosed after 25 years and Conservative Management of Pancreatic Fistula after Insulinoma Surgery

Insulinomas are the rare insulin secreting tumours of pancreatic origin. Their diagnosis is often challenging and delayed due to non-specific and variable symptoms of hypoglycemia. Once diagnosis is made, an appropriate surgical approach is required to prevent post-operative complications. The major challenge for surgeons remains the increased rate of post-operative complications after insulinoma surgery. We present a unique case of insulinoma diagnosed after 25 years and management of post-operative complications of fistula formation after its surgery.