Double Trouble: A Case Report of Abnormal Uterine Bleeding due to Both Central and Peripheral Pathology

A 46-year-old female came to the gynecology outpatient department with heavy and prolonged menstrual bleeding. The examination revealed a thyroid mass and tachycardia. Systemic and gynecological examinations were insignificant. Laboratory tests revealed a deranged thyroid profile which was further e...

Descripción completa

Detalles Bibliográficos
Autores principales: Lavadi, Raj Swaroop, Venkatachalaiah, Ranjitha, Prasad, Madhva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9215186/
https://www.ncbi.nlm.nih.gov/pubmed/35754675
http://dx.doi.org/10.4103/ijabmr.ijabmr_500_21
Descripción
Sumario:A 46-year-old female came to the gynecology outpatient department with heavy and prolonged menstrual bleeding. The examination revealed a thyroid mass and tachycardia. Systemic and gynecological examinations were insignificant. Laboratory tests revealed a deranged thyroid profile which was further explored by performing magnetic resonance imaging. This revealed a functioning pituitary microadenoma producing thyroid-stimulating hormone (TSH). This entity is known as a TSHoma. Ultrasonography of the abdomen and pelvis showed increased endometrial thickness. The patient was treated with antithyroid medication and has undergone Mirena intrauterine contraceptive device insertion. The patient is planned for a hysterectomy when the thyroid profile is normalized.

Ejemplares similares