Endocrine Abstracts

Introduction: For clinically relevant sellar masses, early identification and effective endocrine & surgical management is the key. National Hospital of Sri Lanka (NHSL), which is the largest tertiary care centre in Sri Lanka, manages a wide variety of patients with sellar/supra-sellar pathologies, regularly conducting pituitary related surgeries. The aim of the current study was to determine epidemiological and clinical characteristics as well as immediate post-operative ...

Introduction: Fluid and sodium disorders are a relatively frequent occurrence after sellar/supra-sellar surgeries. National Hospital of Sri Lanka (NHSL) is the main tertiary care centre in Sri Lanka, conducting regular pituitary surgeries. Methods: A prospective cross-sectional study was conducted in all adults (above 15-years) undergoing pituitary-related surgeries in NHSL over 18 months from September 2019. The relationship between demographic factors,...

Insulinoma is a rare pancreatic neuro endocrine tumour. It is the commonest cause for endogenous hyperinsulinaemic hypoglycemia in a seemingly well individual. Insulinomas are small tumors which may not be detected on conventional imaging modalities. Image negative endogenous hyperinsulinemia poses a diagnostic challenge to the clinicians. Interventional radiological techniques with higher sensitivity can be used in such situations for correct localization of the small s for b...

A 66 year old lady with a previous diagnosis of Retinitis Pigmentosa (RP) was referred to our endocrine clinic with excessive sweating and was also noted to have hypertension, thin skin, extensive bruising and central obesity. Her past medical history included a benign thyroid nodule, gastric erosions, osteoporosis, hyperlipidaemia and depression. On examination, blood pressure was 164/86 mmHg and BMI was 30.7 kg/m2 with central obesity. Biochemical testing revealed...

A 41 year old man was initially referred to lymphoedema clinic. He had leg swelling of 10 years duration but was otherwise fit and well. Examination revealed marked lipohypertrophy affecting his thighs bilaterally. There was no oedema and his distal lower limbs were normal. MRI investigation confirmed focal lipohypertrophy. Biochemical investigation revealed a very low albumin of <10 g/l, a low calcium of 1.96 mmol/l and hyperlipidaemia (cholesterol 9.3 mmol/l, LDL 6.4 mmo...