Hypoglycaemia in a 63-year-old female with a large, recurrent, metastatic gastrointestinal stromal tumour (GIST).
BACKGROUND
Non-islet cell tumour-induced hypoglycaemia (NICTH) is rare, with few cases reported in patients with gastrointestinal stromal tumour (GIST).


METHODS
A 63-year-old Chinese female with known metastatic GIST presents with persistent hypoglycaemia. Investigations revealed a likely diagnosis of NICTH, and she underwent debulking surgery. There was complete resolution of her hypoglycaemia post-operatively


CONCLUSIONS
NICTH should be considered in patients with GIST and hypoglycaemia. Surgical debulking is recommended as part of the management of NICTH.
Department of General Surgery, Singapore General Hospital, Outram Road, Singapore, 169608, Singapore. gracethc@gmail.com
Grace
G
Tan
Melissa
M
Teo
Su Pin
SP
Choo
D005260:Female; D046152:Gastrointestinal Stromal Tumors / Q000150:complications* / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D011379:Prognosis