Adult pancreatic nesidioblastosis. Unusual presentations of a rare entity
D. R. Farley, J. A. van Heerden and J. L. Myers
Department of Gastroenterologic and General Surgery, Mayo Clinic, Rochester, Minn.
Adult nesidioblastosis remains an uncommon and poorly understood condition
creating both diagnostic and therapeutic dilemmas for clinicians. Despite
the totipotent nature of hyperplastic pancreatic cells, nearly all accounts
of nesidioblastosis described patients with symptoms of hypoglycemia. We
herein describe two unique patients with adult nesidioblastosis with
gastrin and pancreatic polypeptide secretion. Surgical resection rendered
these two patients free of disease.
