Hypoglycemia Secondary to Metastases to the Liver

Autor: J. Soterakis, S.K. Chawla, Syed Younus, A.J. Sossi, P.A. LoPresti
Rok vydání: 1977
Předmět:
Zdroj: Gastroenterology. 72:334-337
ISSN: 0016-5085
DOI: 10.1016/s0016-5085(77)80099-1
Popis: A 76-year-old man presented with hypoglycemic coma associated with metastatic liver disease. Serum immunoreactive insulin excluded insulinoma as a cause of hypoglycemia. Negative glucose responses to glucagon and epinephrine testing indicated failure of compensatory glycogenolysis. The patient's increased glucose requirements of 500 g per 24 hr were reduced to normal only after shrinkage of the liver tumor bulk was accomplished with chemotherapy. Hepatic hypoglycemia is discussed and the literature is reviewed.
Databáze: OpenAIRE