RT Journal Article
SR Electronic
T1 Hypoglycemia, the first presenting sign of hepatocellular carcinoma
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 387
OP 388
VO 27
IS 3
A1 Nikeghbalian, Saman
A1 Bananzadeh, Alimohammad
A1 Yarmohammadi, Hooman
YR 2006
UL http://smj.org.sa/content/27/3/387.abstract
AB Hypoglycemia is a well-known paraneoplastic manifestation of hepatocellular carcinoma usually occurring in the terminal stages of the disease. However, during initial presentation this manifestation is uncommon. We report a 77-year-old man who presented with signs and symptoms of severe hypoglycemia for example drowsiness. After clinical work-ups, we detected a large mass in the liver. Interestingly, after surgical excision of the tumor, the attacks of decreased level of consciousness and hypoglycemia seized.