Hypoglycemia, the first presenting sign of hepatocellular carcinoma

Authors

• Saman Nikeghbalian, Department of Surgery, Faghihi Hospital, Division of Surgery, Namazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
• Alimohammad Bananzadeh, Department of Surgery, Faghihi Hospital, Division of Surgery, Namazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
• Hooman Yarmohammadi, Department of Surgery, Faghihi Hospital, Zand Ave., Shiraz, Iran. Tel/Fax. +98 (711) 2331006. E-mail: yarmohml{at}sums.ac.ir

Abstract

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.

Article Type

Case Report

First Page

387

Last Page

388

Recommended Citation

Nikeghbalian, Saman; Bananzadeh, Alimohammad; and Yarmohammadi, Hooman (2006) "Hypoglycemia, the first presenting sign of hepatocellular carcinoma," Saudi Medical Journal: Vol. 27: Iss. 3, Article 18.
DOI: https://doi.org/10.15537/1658-3175.3354