Li Zhi, Wang Jun, Zhu Quan, Li Hai, Chen Yijiang, Chen Liang
Department of Cardiothoracic Surgery, the First Affiliated Hospi tal of Nanjing Medical University, Nanjing, China.
Ann Thorac Cardiovasc Surg. 2014;20(2):165-8. doi: 10.5761/atcs.cr.12.01913. Epub 2013 Jan 31.
The occurrence of hypoglycemia with an intrathoracic tumor is referred to as Doege- Potter syndrome (DPS). However, the association between hypokalemia and DPS is rare. We report a case of a solitary fibrous tumor of the pleura with refractory hypoglycemia and hypokalemia. A 57-year-old male was admitted to our hospital for unconsciousness. His serum glucose and potassium levels were low. Radiological findings revealed a large tumor occupying the left hemithorax. Despite being treated with glucose and potassium replacement therapy, the patient still suffered from repetitive fasting hypoglycemic and hypokalemia episodes. After the tumor was completely resected, his serum levels of glucose and potassium returned to normal level.
胸腔内肿瘤伴发低血糖被称为多伊格-波特综合征(DPS)。然而,低钾血症与DPS之间的关联较为罕见。我们报告一例伴有难治性低血糖和低钾血症的胸膜孤立性纤维瘤病例。一名57岁男性因昏迷入住我院。他的血糖和血钾水平较低。影像学检查发现一个巨大肿瘤占据左半胸。尽管接受了葡萄糖和钾补充治疗,但患者仍反复出现空腹低血糖和低钾血症发作。肿瘤完全切除后,他的血糖和血钾水平恢复正常。