Eghbali F,  Karami R. Refractory hypoglycemia induced by a duodenal wall gastrointestinal stromal tumor: A case report.  Caspian J Intern Med 2021; 12 (S2) :447-450
URL: 
http://caspjim.com/article-1-2227-fa.html     
                     
                    
					 
					
                 
                
                    
                    
                    
                    
                    
                    
                    
                    
                    چکیده:       (3137 مشاهده)
                    
                    
                    Background: Tumor-associated hypoglycemia can be caused by non-islet cell tumors including gastrointestinal stromal tumor (GIST) which is a rare paraneoplastic syndrome that leads to the release of insulin-like growth factor-2 (IGF-2).
Case Presentation: We report the case of a 45-year old woman who was admitted to our hospital with refractory hypoglycemic episodes. We found normal serum insulin and c-peptide level and abdominal CT-scan showed a small duodenal wall lesion suggesting insulinoma. After tumor resection, hypoglycemia symptoms were recovered, but the pathological findings demonstrated the lesion was GIST.
Conclusion: In a small gastrointestinal lesion with hypoglycemic symptoms we should consider IGF-II secreting GIST in addition to insulinoma.
                    
                    
                    
                     
                    
                    
                    
                    نوع مطالعه:  
case report |
                    موضوع مقاله: 
                    
Surgery  دریافت: 1398/12/3 | پذیرش: 1399/5/11 | انتشار: 1400/5/2