[Hypoglycemic coma revealing a solitary fibrous tumor of the pleura].
BACKGROUND
Solitary fibrous tumor of the pleura (TFSP) is rare. When associated with hypoglycemia it is commonly referred to as Doege-Potter syndrome.


METHODS
A 51-year-old man was hospitalized for recurrent near-syncope associated with hypoglycemia. Clinical examination and then thoracic imaging clearly showed anomalies that corresponded to a mass occupying the entire left hemithorax. After resection, histological analysis diagnosed a fibrous tumor of the pleura.


CONCLUSIONS
Solitary fibrous tumors of the pleura are observed most often in patients aged 50 and 70 years. Hypoglycemia is rare, occurring in approximately 4% of cases. It is explained by the abnormal secretion of a type-II insulin-like growth factor. This tumor is treated by complete surgical excision.
Kafih
M
M
Service des urgences de chirurgie viscérale, CHU Ibn Rochd, Casablanca.
Boubia
S
S
Ridai
M
M
Maher
N
N
Afif
H
H
Attar
H
H
Zerouali
N-O
NO
D003128:Coma / Q000209:etiology*; D006801:Humans; D007003:Hypoglycemia / Q000150:complications / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D018218:Neoplasms, Fibrous Tissue / Q000175:diagnosis* / Q000601:surgery; D010997:Pleural Neoplasms / Q000175:diagnosis* / Q000601:surgery