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Visualization of the focus in congenital hyperinsulinism by intraoperative sonography.

Authors:
Ludwig von Rohden Klaus Mohnike Harald Mau Traugott Eberhard Wolfgang Mohnike Oliver Blankenstein Susann Empting Michael Koch Frank Füchtner Winfried Barthlen

Semin Pediatr Surg 2011 Feb;20(1):28-31

Pediatric Radiology, O. v. Guericke University, Magdeburg, Germany.

In surgery for focal congenital hyperinsulinism (CHI), the identification and complete resection of the focus without collateral damage is of utmost importance. In a pilot study we applied intra-abdominal high-frequency sonography during surgery for focal CHI in 2 infants. The focus could be identified, its relation to the pancreatic and common bile duct could be shown, and the typical octopus-like tentacles could be demonstrated. In one case the resection was successful; in the other it was not. These preliminary results suggest that intraoperative sonography could be a valuable tool in the surgical therapy of focal CHI and warrants further evaluation in a clinical study.

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http://dx.doi.org/10.1053/j.sempedsurg.2010.10.011DOI Listing
February 2011

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