Frequent severe hypoglycemia in a female patient with post resection postprandial hypoglycemic syndrome

Abstract

We present a case of a female patient with Crohn’s disease who underwent many various procedures for reflux and resection surgery and who suffered from secondary postprandial hypoglycemic syndrome. The patient developed frequent hypoglycemia and hypoglycemic coma as a part of dumping syndrome.

Optimal solution was the insertion of the intravenous port permitting the administration of concentrated glucose solutions. The patient is able to manage her hypoglycemia at home self-containedly and hypoglycemic coma has not developed since the insertion of the port.

Keywords

• dumping syndrome
• postprandial hypoglycemic syndrome
• somatostatin
• intravenous port