Intractable hypoglycaemia in a patient with advanced carcinoid syndrome successfully treated with hepatic embolization

Angelos Kyriacou, Was Mansoor, Jeremy Lawrance, Peter J. Trainer

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A male patient presented at the age of 54 years with metastatic pancreatic neuroendocrine tumour (NET). He was managed with interferon and multiple courses of MIBG therapy which controlled his disease for about seven years. He then developed symptomatic hypoglycaemia which resolved with the introduction of somatostatin analogue treatment and further therapeutic MIBG. However, three years later he was admitted to hospital with severe and intractable hypoglycaemia …