{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T03:51:01Z","timestamp":1747194661432,"version":"3.40.5"},"reference-count":6,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T00:00:00Z","timestamp":1697673600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Summary<\/jats:title>\n\t  <jats:p>Nesidioblastosis is a rare condition of organic persistent hyperinsulinaemic hypoglycaemia, with fewer than 100 cases since it was first recorded. However, an increasing prevalence suggests previous underdiagnosis due to poor knowledge and awareness. This case describes the presentation, clinical decision-making and unique challenges in diagnosis and care of a 21-year-old female with nesidioblastosis and extensive psychiatric comorbidities. She was repeatedly misdiagnosed until 2021, despite having presented to emergency departments with hypoglycaemic symptoms for over 7 years. Her symptoms were often misattributed to behaviours secondary to restrictive anorexia nervosa and borderline personality disorder. Even after appropriate diagnosis and management, she suffered a complicated post-operative course. Patients with psychiatric comorbidities are at higher risk of distress, communication difficulties and inadequate social support, all of which could be better managed with increased multidisciplinary collaboration between endocrine, surgery, psychiatry, pain management and social work. This study highlights the importance of well-rounded patient care that addresses all facets of patient health. This approach not only improves quality of care, but also reduces overall readmissions, revisions, morbidity and mortality.<\/jats:p>","DOI":"10.1192\/bjo.2023.506","type":"journal-article","created":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T08:47:46Z","timestamp":1697705266000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Nesidioblastosis with delayed diagnosis and post-operative complications in a patient with complex psychiatric history"],"prefix":"10.1192","volume":"9","author":[{"given":"Lee Ann","family":"Santore","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3522-1191","authenticated-orcid":false,"given":"Soumya","family":"Mandava","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gloria","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mason","family":"Chacko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2023,10,19]]},"reference":[{"key":"S2056472423005069_ref3","doi-asserted-by":"publisher","DOI":"10.1159\/000268166"},{"key":"S2056472423005069_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2006.04.015"},{"key":"S2056472423005069_ref4","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.136.6.656"},{"key":"S2056472423005069_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2009.08.008"},{"key":"S2056472423005069_ref1","doi-asserted-by":"publisher","DOI":"10.4149\/neo_2014_047"},{"key":"S2056472423005069_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2020.11.049"}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056472423005069","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T08:47:49Z","timestamp":1697705269000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056472423005069\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,19]]},"references-count":6,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,11]]}},"alternative-id":["S2056472423005069"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2023.506","relation":{},"ISSN":["2056-4724"],"issn-type":[{"type":"electronic","value":"2056-4724"}],"subject":[],"published":{"date-parts":[[2023,10,19]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e198"}}