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Acute pituitary crisis after lumbar surgery: A case report
RATIONALE: Patients with hypopituitarism often have no specific symptoms; that frequently results in missed diagnosis. An acute hypopituitarism crisis can be induced under stressful conditions. Here, we report a rare case of an acute pituitary crisis after lumbar surgery. PATIENT CONCERNS: We descri...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695533/ http://dx.doi.org/10.1097/MD.0000000000036294 |
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author | Wang, Hui Gong, Xingrui |
author_facet | Wang, Hui Gong, Xingrui |
author_sort | Wang, Hui |
collection | PubMed |
description | RATIONALE: Patients with hypopituitarism often have no specific symptoms; that frequently results in missed diagnosis. An acute hypopituitarism crisis can be induced under stressful conditions. Here, we report a rare case of an acute pituitary crisis after lumbar surgery. PATIENT CONCERNS: We describe a 62-year-old female who presented with refractory electrolyte disorders after lumbar surgery. In addition, she developed anorexia, nausea, vomiting, chest cavity effusion, ascites, pericardial effusion, anemia, low blood pressure, bradycardia, and unconsciousness after surgery. MRI showed an empty sella turcica. DIAGNOSES: She was diagnosed with postoperative acute hypopituitary crisis. INTERVENTIONS: The patient received hormone replacement therapy. OUTCOMES: Her symptoms improved significantly following the initiation of hormone replacement therapy and was well 6 months after surgery. LESSONS: Refractory postoperative complications, including electrolyte disorders, infection, nausea, vomiting, circulatory collapse, anemia, and coma, indicate an acute postoperative hypopituitary crisis. |
format | Online Article Text |
id | pubmed-10695533 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-106955332023-12-05 Acute pituitary crisis after lumbar surgery: A case report Wang, Hui Gong, Xingrui Medicine (Baltimore) 3300 RATIONALE: Patients with hypopituitarism often have no specific symptoms; that frequently results in missed diagnosis. An acute hypopituitarism crisis can be induced under stressful conditions. Here, we report a rare case of an acute pituitary crisis after lumbar surgery. PATIENT CONCERNS: We describe a 62-year-old female who presented with refractory electrolyte disorders after lumbar surgery. In addition, she developed anorexia, nausea, vomiting, chest cavity effusion, ascites, pericardial effusion, anemia, low blood pressure, bradycardia, and unconsciousness after surgery. MRI showed an empty sella turcica. DIAGNOSES: She was diagnosed with postoperative acute hypopituitary crisis. INTERVENTIONS: The patient received hormone replacement therapy. OUTCOMES: Her symptoms improved significantly following the initiation of hormone replacement therapy and was well 6 months after surgery. LESSONS: Refractory postoperative complications, including electrolyte disorders, infection, nausea, vomiting, circulatory collapse, anemia, and coma, indicate an acute postoperative hypopituitary crisis. Lippincott Williams & Wilkins 2023-12-01 /pmc/articles/PMC10695533/ http://dx.doi.org/10.1097/MD.0000000000036294 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 3300 Wang, Hui Gong, Xingrui Acute pituitary crisis after lumbar surgery: A case report |
title | Acute pituitary crisis after lumbar surgery: A case report |
title_full | Acute pituitary crisis after lumbar surgery: A case report |
title_fullStr | Acute pituitary crisis after lumbar surgery: A case report |
title_full_unstemmed | Acute pituitary crisis after lumbar surgery: A case report |
title_short | Acute pituitary crisis after lumbar surgery: A case report |
title_sort | acute pituitary crisis after lumbar surgery: a case report |
topic | 3300 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695533/ http://dx.doi.org/10.1097/MD.0000000000036294 |
work_keys_str_mv | AT wanghui acutepituitarycrisisafterlumbarsurgeryacasereport AT gongxingrui acutepituitarycrisisafterlumbarsurgeryacasereport |