Article Text

Rare disease
A rare cause of hypoglycaemia
  1. Pinaki Dutta1,
  2. Anil Bhansali1,
  3. Santosh Kumar2,
  4. P Jayaprakash1,
  5. Uma Nahar1
  1. 1
    PGIMER, Endocrinology, Sector 12, Chandigarh, 160012, India
  2. 2
    PGIMER, Urology, Sector 12, Chandigarh, 160012, India
  1. Anil Bhansali, anilbhansali_endocrine{at}


We describe the case of a 77-year-old man who was admitted with recurrent episodes of altered behaviour. These episodes were related to insulin-like growth factor II (IGF-II) mediated hypoglycaemia. Imaging revealed a large retroperitoneal mass and he underwent debulking surgery uneventfully. Histopathology revealed a solitary fibroma with intense immunostaining positive for CD34 and vimentin, suggesting a mesenchymal origin of the tumour. Later he received chemo/radiotherapy and is on prednisolone with abatement of hypoglycaemic episodes.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication