Searchable abstracts of presentations at key conferences in endocrinology

ea0037ep1223 | Clinical Cases–Pituitary/Adrenal | ECE2015

Bilateral adrenal haemorrhage: a rare complication of anti phospholipid syndrome

Akavarapu Sriranganath , Michael Yee

Introduction: Bilateral adrenal haemorrhage is a rare potentially life-threatening event that occurs either in traumatic or non traumatic conditions. We present a rare case report of bilateral adrenal haemorrhage due to anti-phospholipid antibody syndrome.Case report: A 54 year old Iranian origin male presented with abdominal pain and collapse. His past history includes unprovoked DVT 6 months ago and off the warfarin recently. CT abdomen showed bilatera...

ea0062wh5 | Workshop H: Miscellaneous endocrine and metabolic disorders | EU2019

Use of Tolvaptan in the management of recurrent episodes of Hyponatremia due to SIADH secondary to Traumatic Brain Injury

Arfan Rabia , Akavarapu Sriranganath , Dove David

History: 80 years old male was admitted in June 2016 with a head injury. His CT head showed small subarachnoid haemorrhage and shallow frontal subdural hematoma. He was managed conservatively as per advice from neurosurgical department and was discharged on 4th July. He was readmitted on 9th July suffering from confusion and found to have sodium of 114 which was 141 a week ago.Investigation: Investigations carried out to find the ca...

ea0062p20 | Poster Presentations | EU2019

Hypercalcemia in pregnancy in a patient with previous miscarriages

Arfan Rabia , Mohammadi Alireza , Akavarapu Sriranganath , Sam Amir , Meeran Kareem

Case history: 36 years old, 14 weeks pregnant lady was referred to endocrinology department by GP urgently with corrected Calcium CCa of 2.97 mmol/l and normal parathyroid hormone (PTH). Her symptoms were urinary frequency and nausea. She had 3 previous miscarriages and 2 normal births. She was on folic acid and vitamin D supplements. There was family history of type 2 diabetes and B12 deficiency. Her 6 family members had normal calcium levels.Investigat...

ea0037ep1347 | Clinical Cases–Thyroid/Other | ECE2015

Gastrinoma with liver metastasis; is it always a bad news?

Akavarapu Sriranganath , Acharya Jayashekara , Valsalakumari Parvathy , Todd Jeannie

Introduction: Gastrinoma is a rare neuroendocrine tumor and associated with liver metastasis in 20–40% of cases. We present a rare case report of a patient with stable liver metastasis due to gastrinoma for more than 35 years.Case report: A 49 year old male is currently on our regular clinic follow up for the liver metastasis due to gastrinoma. His past history includes open laparotomy and resection of gastrinoma (Proven histologically) at the age o...

ea0037ep55 | Adrenal cortex | ECE2015

Rare case of ectopic ACTH secreting tumour causing cyclical Cushing's syndrome

Acharya Jayashekara , Akavarapu Sriranganath , Abbara Ali , Parvathy Valsalakumari , Todd J F

We are reporting a rare case of ectopic ACTH secreting tumour causing cyclical Cushing’s syndrome. A 63-year-old lady presented in March 2013 with tiredness and bilateral leg swelling and weakness associated with easy bruising. She was admitted to local hospital in April 2013 with worsening proximal myopathy and peripheral oedema. Her midnight cortisol was elevated at 1710 nmol/l. ACTH 610 mU/l, prolactin 476 mU/l, GH 0.21 IU/l, TSH 0.73 mU/l, free T4 of 11.0 p...