PT  - JOURNAL ARTICLE
AU  - Pinaki Dutta
AU  - Anil Bhansali
AU  - Santosh Kumar
AU  - P Jayaprakash
AU  - Uma Nahar
TI  - A rare cause of hypoglycaemia
AID  - 10.1136/bcr.04.2009.1789
DP  - 2009 Jan 01
TA  - BMJ Case Reports
PG  - bcr0420091789
VI  - 2009
4099  - http://casereports.bmj.com/content/2009/bcr.04.2009.1789.short
4100  - http://casereports.bmj.com/content/2009/bcr.04.2009.1789.full
AB  - 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.