Flushing and diarrhea, and less frequently, heart failure, vomiting and bronchoconstriction

alkiviadis.1961 shared this article with you from Inoreader Management of refractory hypoglycaemia in a metastatic neuroendocrine tumour co-secreting serotonin and insulin Via BMJ Case Reports Last 6 Issues A 27-year-old otherwise healthy man of African descent presented to the hospital with initial symptoms of carcinoid syndrome that later evolved into symptoms of hyperinsulinemic hypoglycaemia. Investigations revealed a metastatic neuroendocrine tumour (NET), co-secreting both serotonin and insulin. Management involved a multimodal approach in an attempt to reduce tumour burden and achieve euglycaemia, which proved to be a significant challenge in the face of refractory hyp oglycaemia despite the administration of multiple prohyperglycaemic agents in combination. Unfortunately, given the burden of metastatic disease and multiple medical complications that ensued, the patient passed away. This case highlights the clinical history of a NET co-secreting serotonin and insulin, the use of combination therapy in the treatment of refractory hypoglycaemia in a metastatic insulin-producing tumour and emerging therapeutic modalities in the treatment of these rare malignancies. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.