title: [Malignant hypoglycaemia].
abstract: We describe the case of a 19-years old patient with seizure due to severe hypoglycaemia during general practitioner consultation. Because of hyperinsulinaemic hypoglycaemia and suspected liver metastasis a neuroendocrine hormone active tumor was suspected. After liver biopsy and CT scan a neuroendocrine pancreatic tumor could be diagnosed. Afterwards oncological therapy was induced.
authors.affiliation: Departement Innere Medizin, Kantonsspital St. Gallen.
authors.forename: Johannes
authors.initials: J
authors.lastname: Rigger
authors.affiliation: Medizinische Intensivstation, Kantonsspital St. Gallen.
authors.forename: Gian-Reto
authors.initials: GR
authors.lastname: Kleger
authors.affiliation: Klinik für Gastroenterologie/Hepatologie, Kantonsspital St. Gallen.
authors.forename: David
authors.initials: D
authors.lastname: Semela
authors.affiliation: Departement Innere Medizin, Spital Rorschach, Kantonsspital St. Gallen.
authors.forename: Christian
authors.initials: C
authors.lastname: Doenecke
authors.affiliation: Institut für Pathologie, Kantonsspital St. Gallen.
authors.forename: Regulo
authors.initials: R
authors.lastname: Rodriguez
authors.affiliation: Klinik für Gastroenterologie/Hepatologie, Kantonsspital St. Gallen.
authors.forename: Christa
authors.initials: C
authors.lastname: Meyenberger
authors.affiliation: Klinik für Onkologie/Hämatologie, Kantonsspital St. Gallen.
authors.forename: Dieter
authors.initials: D
authors.lastname: Köberle
authors.affiliation: Klinik für Gastroenterologie/Hepatologie, Kantonsspital St. Gallen.
authors.forename: Mikael
authors.initials: M
authors.lastname: Sawatzki
mesh_terms: D001706:Biopsy; D044903:Congenital Hyperinsulinism / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007340:Insulinoma / Q000175:diagnosis* / Q000473:pathology / Q000556:secondary*; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000556:secondary*; D008207:Lymphatic Metastasis / Q000473:pathology; D009367:Neoplasm Staging; D010166:Palliative Care; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000473:pathology; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional; D055815:Young Adult
keywords: Hypoglykämie; Lebermetastasen; hypoglycaemia; liver metastasis; neuroendocrine pancreatic tumors; neuroendokriner Pankreastumor