Background: Hypoglycemia is a frequently encountered cause of altered mental status in clinical practice.
Objectives: To report a rare case with hypoglycemia-induced coma as the sole and initial clinical manifestation of a hepatic tumor.
Case report: A previously healthy 32-year-old man presenting with acute change in consciousness was found to have hepatoma related hypoglycemia.
Conclusion: This case highlights the importance of a hepatic evaluation in, otherwise, unexplained hypoglycemic coma in high prevalence areas of hepatocellular carcinoma such as the Asian-Pacific region.
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