DOI: 10.12890/2016_000353

Hypoglyceamia in a Patient with a Solitary Fibrous Tumour

Authors

  • Andrew Okpe Department of Diabetes and Endocrinology, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire
  • Kerri Ramsay Department of Diabetes and Endocrinology, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire
  • Isuru P Fernando Department of Diabetes and Endocrinology, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire
  • Emily Mudenha Department of Diabetes and Endocrinology, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire
  • Devaka J Fernando Department of Diabetes and Endocrinology, King’s Mill Hospital, Sutton-in-Ashfield, Nottinghamshire

devaka.fernando@sfh-tr.nhs.uk

Keywords

Hypoglycaemia, Non Insulin mediated hypoglycaemia, Insulin like growth factor, Solitary fibrous tumour, Retroperitoneal tumour

Abstract

Objective: To illustrate an unusual mechanism causing hypoglycaemia.

Material and methods: A 76-year-old man presented with episodes of agitation and confusion and was resuscitated with oral glucose gel when found to be hypoglycaemic.

Results: A CT scan for an abdominal mass confirmed a solitary fibrous tumour (SFT). The sarcoma multidisciplinary team suggested conservative management. The patient's episodic hypoglycaemia was managed with diet modification including corn-based starch, scheduled snacks and dexamethasone. Glucose levels were within normal range at discharge from hospital. The patient was referred to the palliative care team for follow-up.

Conclusion: SFTs causing non-islet cell tumour hypoglycaemia are difficult to treat.

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References

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Published

2016-04-12

Issue

Vol. 3 No. 3 (2016)

How to Cite

1.
Okpe A, Ramsay K, Fernando IP, Mudenha E, Fernando DJ. Hypoglyceamia in a Patient with a Solitary Fibrous Tumour. EJCRIM [Internet]. 2016 Apr. 12 [cited 2026 Nov. 3];3(3). Available from: https://ejcrim.com/index.php/ejcrim/article/view/353

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