[Severe hypoglycemia as first manifestation hepatocarcinoma in pregnancy: case report].

We report the case of a 24 years old, nineteen weeks pregnant that develops pictures of severe hypoglycemia as first manifestation of primary hepatocarcinoma by hepatitis B. The great increase of the alpha fetoprotein was diagnostic. We reviewed the Literature and comment the hypoglycemic effect as a paraneoplasic manifestation by the increase of the growth-factor similar to insulin II of tumor origin, with low insulin levels.