A case of late dumping syndrome.
We report a case of late dumping syndrome in a 49-year-old lady who had partial gastrectomy for bleeding peptic ulcer 11 years ago. She presented with unexplained syncopal attacks which did not have any apparent relationship to meal or posture. An unusual reaction to oral glucose tolerance test ordered by her gynaecologist who was seeing her for uterine fibroid led to the diagnosis. Late dumping syndrome was confirmed by a repeat oral glucose tolerance test. At the second hour of the test, she developed hypoglycaemic coma with a blood glucose level of 50 mg/dL and a hypocount of 47 mg/dL. She regained full recovery after dextrose infusion which raised the hypocount to 123 mg/dL. The dizzy spells and syncopal attacks disappeared with dietary adjustment.
Yap
J C
JC
Department of Respiratory Medicine, Tan Tock Seng Hospital, Singapore.
Wang
Y T
YT
Poh
S C
SC
D003937:Diagnosis, Differential; D004377:Dumping Syndrome / Q000209:etiology*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects*; D005951:Glucose Tolerance Test; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology; D008875:Middle Aged; D013575:Syncope / Q000209:etiology