Endocrine Abstracts

Introduction: Although the cause and effect relationship between the hypophyseal deficiency and osteoporosis is known well, the number of studies concerning bone mineral density (BMD) in patients with Sheehan’s syndrome (SS) are scarce. We aimed to investigate the relationship between BMD and deficient hormones in patients with newly-diagnosed Sheehan’s syndrome.Material and methods: Thirty-four patients with SS and age-gender-weight matched 22...

Introduction: Silent corticotroph adenomas (SCAs) are uncommon pituitary tumors, immunoreactive for ACTH, but without clinical evidence of hypercortisolism and present with local mass effects and some endocrine dysfunction. Case 43 years old male patient was diagnosed with pituitary tumor which was 5×3 cm in size. In history, 6 months ago he applied to another hospital with syncope and operated transsphenoidally. But these datas are unreachable. He had been suffering from...

Introduction: Wegener granulomatosis is a necrotizing granulomatous small-vessel vasculitis. It typically affects the upper respiratory tract, lungs, and kidneys but can involve virtually any organ including the pituitary. Pituitary involvement in wegener granumatosis is rare.Case: A 50-year-old woman was admitted to the hospital with severe dyspne for 2 years and stridor for a month. During her hospitalization, her sodium level was noted to be persisten...

Cortex protecting surgery for bilateral pheochromocytoma protects the patient from adrenal insufficiency. Risk of relapse is low. 35 years old woman had paroxysmal seizures and hypertension crises for the last year which became more frequent in the last 10 days. She had thyroidectomy and under the use of levothyroxine the patient. Because of a nodule on ultrasonography and paternal history of MEN 2A which led to a check of calcitonin level that resulted 8 times higher than the...

Although primary hyperparathyroidism (PHPT) is seen in young women at 8/million ratio, it is more rare to be seen with pregnancy. If diagnosed and not treated during pregnancy, the mother may have nephrolithiasis, hypercalcemic crisis, hypertension, preeclampsia, pancreatitis, death and intrauterine growth retardation in the fetus, low birth weight, preterm delivery, intrauterine death or postpartum tetany. Forty-year-old woman at the 14th week of gestation was diagnosed with ...

Introduction: IgG4-dependent disease is a newly defined fibroinflammatory disease. This disease has been shown to affect almost all organs in the body, especially the pancreas, salivary gland, orbital tissue, lymph node, lung and kidney. IgG4 hypophysitis is a rare and inflammatory process that mimics pituitary tumors. The diagnosis of IgG4 releated hypophysitis can be done in many ways. The definitive diagnosis is biopsy; however, it is not necessary in most cases. If the oth...

Introduction: In our country, Sheehan syndrome is one of the most common causes of pituitary insufficiency in female patients.Case: A 54-year-old female patient developed cardiac arrest after an elective hip replacement surgery, and after 5 minutes of cardio pulmonary resuscitation, the rhythm returned to normal and the patient was intubated. Since she was hypotensive, she was given the infusion of noradrenaline after dopamine infusion, but despite this ...

Introduction: Since the thyroid myxedema coma is rarely seen nowadays, its diagnosis can be overlooked.Case: The patient with tracheostomy who underwent total laryngectomy and bilateral neck dissection and radiotherapy (RT) at the neck region 10 years ago due to Larynx cancer was admitted to the intensive care unit the diagnosis periorbital edema, hypotension, hypothermia, consciousness disorder and pneumosepsis. Treatment was started for Acinobacter, wh...

Background/aim: Visceral obesity rather than generalized obesity has been recognized as a risk factor for development of colonic adenomatous polyps. We aimed to to find out whether there is association between the obesity parameters determined by TANITA such as fat percent, body mass index (BMI) and visceral fat rating and prevalence of colonic adenomatous polyps.Material and methods: We conducted a cross-sectional study using a consecutive series of 231...

Primary mediastinal ectopic goiters are very rare and comprise about 1% of all mediastinal tumors. Blood supply of primary mediastinal goiter comes from local intrathoracic vessels. Compressing symptoms, diagnostic uncertainty, and the risk of malignancy support surgical excision.Case report: The patient is a 40-year-old woman with a 6-month history of progressive dyspnea, chest and back pain. Chest X-ray showed the left superior mediastinal mass was com...