Insulinoma in pregnancy presenting as a seizure disorder : a case report

We present the clinical course and problems in the management of a 30 year old Nigerian lady who was admitted with fasting hypoglycaemia due to a pancreatic islet cell tumour (insulinoma) during the first trimester of pregnancy. Her case was initially misdiagnosed as idiopathic epilepsy. The outcome was fatal mainly because the poor clinical state of the patient limited our treatment options. This condition though uncommon, is potentially easily recognisable and treatable, as long as there is a high index of suspicion