Retroperitoneal mesenchymal tumour presenting as recurrent hypoglycaemia and seizures – a rare presentation

Abstract

Seizure disorder is a common disease in the world with a prevalence rate of 5-10 persons per thousand persons. The present patient 24 year old unmarried, non diabetic female, presented with recurrent episodes of hypoglycemia and seizures for the last 4 months, which were relieved on intake of dextrose, orange juice and other eatable. On examination and workout of the patient, there was no suggestion of inherited or genetic disorder, ICSOL, infections, vascular cause, toxic cause, drug use, drug abuse and metabolic disorders . The insulin levels and HbA1c levels were normal. She was found to have a retroperitoneal mass, which on further investigation was proved to be retroperitoneal malignant mesenchymal tumour of spindle cell variety, which was responsible for recurrent episodes of hypoglycemia and seizures. The disease entity is very rare and the presentation in this patient is very very rare. Therefore this case is being reported.