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Case Reports in Hepatology
Volume 2017, Article ID 7465025, 3 pages
https://doi.org/10.1155/2017/7465025
Case Report

Intractable Fasting Hypoglycemia as a Manifestation of Hepatocellular Carcinoma

1Department of Medicine, University of Florida, 1600 SW Archer Road, Gainesville, FL 32610, USA
2Division of Gastroenterology, Hepatology and Nutrition, University of Florida, 1600 SW Archer Road, Gainesville, FL 32610, USA

Correspondence should be addressed to Justin J. Forde; ude.lfu.enicidem@edrof.nitsuj

Received 30 March 2017; Revised 5 June 2017; Accepted 11 June 2017; Published 12 July 2017

Academic Editor: Sorabh Kapoor

Copyright © 2017 Justin J. Forde et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Non-islet cell tumor hypoglycemia (NICTH) is a rare and serious paraneoplastic complication of both malignant and benign tumors to consider when evaluating fasting hypoglycemia, especially in the setting of liver diseases. We present a case of NICTH in a 54-year-old male with hepatocellular carcinoma (HCC) who presented with symptomatic intractable hypoglycemia (IH) after bowel preparation and fasting for screening upper endoscopy and colonoscopy.