Islet Cell Tumor in a Neonate: Diagnosis by Selective Angiography and Histological Findings

Congenital islet cell adenomas of the pancreas are rare. Fewer than 20 cases have been documented.1,2 The purpose of this article is to present what we believe is the first case in which a preoperative diagnosis of an insulinoma was established by selective angiography in a neonate and to describe the histological findings. CASE REPORT A girl weighing 2,759 gm was the product of a normal 38-week pregnancy with an uncomplicated labor and delivery. The one- and five-minute Apgar scores were 8 and 9. At 19 hours of age she was observed to be cold, pale, and diaphoretic. A sepsis evaluation was initiated.