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Case Reports
. 2022 Nov 20;10(11):e6627.
doi: 10.1002/ccr3.6627. eCollection 2022 Nov.

Malignant fibroma presenting as a hypoglycemia and coma in a 45-year-old male patient: A case report

Muhammad Hanif  1 , Vikash Jaiswal  2 , Sidra Naz  3 , Nirmit Patel  4 , Nishan Babu Pokhrel  5 , Mounika Reddy Vadiyala  6
Affiliations
Case Reports

Malignant fibroma presenting as a hypoglycemia and coma in a 45-year-old male patient: A case report

Muhammad Hanif et al. Clin Case Rep. .

Abstract

Solitary fibrous tumors (SFTs) are a rare group of spindle cell neoplasm of submesothelial origin with malignant potential and can present as hypoglycemia secondary to excess secretion of insulin-like growth factor II (IGF-II) from the tumor. Early diagnosis and treatment are very important in such cases to prevent hypoxic injury to the brain secondary to hypoglycemia. Here, we are presenting a case of a 45-year-old male patient, who presented with recurrent episodes of hypoglycemia spells, and later on, it was diagnosed that hypoglycemic spells were secondary to fibroma.

Keywords: fibroma; hypoglycemia; insulin‐like growth factor II.

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Figures

FIGURE 1
FIGURE 1
CT abdomen with oral contrast shows a well‐defined oval hypoattenuating mass in the region of descending colon.
See this image and copyright information in PMC

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