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Nesidioblastosis arising from heterotopic pancreas and presenting with hypertension. A clinical, immunohistochemical and ultrastructural study.

A rare case of nesidioblastosis in an adult arising from heterotopic pancreas and presenting with hypertension is reported. To our knowledge it is the first case to be described in literature. The pathogenic mechanisms to explain hypertension are not clear. The stimulating action of glucagon on the adrenal gland or on peripheral beta receptors could be considered as hypothetical factors.