A Case of Advanced Hepatocellular Carcinoma Presenting with Hypoglysemic Coma

AABBSS TTRRAACCTT Hypoglycemia is often associated with pancreatic tumors (eg, insulinoma). However, the association of paraneoplastic hypoglycemia with non-islet cell tumors is less frequent. In a patient who has not yet been diagnosed with hepatocellular carcinoma, it is a quite rare case that the first sign is coma due to hypoglycemia. Following is a 76-year-old male patient who has no disease history except essential hypertension and chronic obstructive pulmonary disease and has no symp- tom caused by prior hepatic lesion or failure. Below, it is aimed to present that how the patient's hypoglycaemic episodes were controlled in the follow-up period and to present the diagnosis process of advanced hepatocellular carcinoma which was diagnosed after several application to emergency room with a severe hypoglycemic coma due to recurrent symptomatic hypoglycemia lasting few months.