DOI: 10.36347/sjmcr.2015.v03i12.009

Pages: 1172-1174

We report a case of 63 year old man, known hypertensive and diabetic patient with advanced gastric cancer, with previous history of stroke. Patient was admitted to our emergency department following hypoglycaemic coma attack, resulting from non islet cell tumour (NICT) recalcitrant hypoglycaemia. At admission the plasma glucose level was 1.1mmol/l. Patient hypoglycaemia failed to respond to intravenous bolus of 1 in 1 dilution of 50% dextrose water and had to be maintained on continuous infusion of 10% dextrose. The patient hypoglycaemia progressively resolved over two weeks following subtotal gastrectomy. This case suggests that hypoglycaemia could be a form of paraneoplastic syndrome associated with gastric cancer.