TY - JOUR T1 - HEpatogenic hypoglycemia associated with primary liver cell carcinoma AU - NADLER WH, WOLFER JA Y1 - 1929/11/01 N1 - 10.1001/archinte.1929.00140050077007 JO - Archives of Internal Medicine SP - 700 EP - 710 VL - 44 IS - 5 N2 - Deficient liver function has been assumed in certain cases of spontaneous hypoglycemia, but no proved examples of hepatic origin comparable with those apparently due to hyperinsulinism have been reported. The liver appears to be able to maintain an adequate blood sugar level in spite of widespread injury. Although complete removal is followed experimentally by a progressive fall in blood sugar, no marked change in carbohydrate metabolism has been observed after partial removal. The following case of hypoglycemia, apparently of hepatogenic type, is, therefore, of interest.REPORT OF CASEĀ  N. W., a colored man, a native of Honduras, aged 30, was admitted to the hospital for an exploratory laparotomy on July 6, 1928. He had been in good health prior to January, 1928, when he began to lose weight. In May, weakness was apparent; in June, he was seized with intense epigastric pain after eating. The pain decreased after an hour SN - 0730-188X M3 - doi: 10.1001/archinte.1929.00140050077007 UR - http://dx.doi.org/10.1001/archinte.1929.00140050077007 ER -