Medical Must-See: A tumour that takes an average of four years to diagnose

A man’s recurrent hypoglycaemia was resolved after a pancreatectomy, his doctors report.
Resected specimen consisting of part of the pancreas measuring (11 × 7 × 2) cm and spleen measuring (13 × 7 × 4.5) cm.

A five-year diagnostic delay sounds terrible unless you know that, for insulinoma, a 4.3-year delay is the average.

That is the takeaway from this Nepalese case report on a 52-year-old with a half-decade history of hypoglycaemic episodes.

The patient presented to ED with a history of somnolent sensorium after experiencing adrenergic symptoms at 3am that morning, his doctors wrote in Clinical Case Reports.

He had a five-year history of recurrent fasting and postprandial hypoglycaemia episodes, with no history of diabetes and no current medications.