Masked Pituitary Macroadenoma Presenting as Pituitary Apoplexy Triggered by Sepsis in Postpartum Period-A Rare Case Report
Nicole Dound
Department of OBGY, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Wardha, India.
Sandhya Pajai
Department of OBGY, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Wardha, India.
Neema Acharya
Department of OBGY, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Wardha, India.
Sourya Acharya
Department of OBGY, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Wardha, India.
Chitra Dound
Independent Researcher, Obstetrics and Gynaecology Consultant, Vinayak Society, Gandhinagar, Bandra East – 400051, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Apoplexy of the Pituitary gland is rarely seen critical disorder marked by acute throbbing of head / altered mental status / visual disturbances /decreased consciousness, due to sudden haemorrhagic changes of the pituitary or infarction of the same. There are numerous factors which precipitate apoplexy of the pituitary, sepsis being one of the least common cause, as is elaborated in this case study. Inspite of having a distinctive presentation, pituitary apoplexy eludes diagnosis and proper management as it is complicated by related co-morbidities. Its occurrence in a postpartum lady is an even rarer incident. This article shows a rare occurrence of apoplexy of macroadenoma in a postpartum woman which was managed conservatively.
Keywords: Pituitary macro-adenoma, pituitary apoplexy, sepsis, UTI