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Case Reports
. 2009 Apr;91(3):W3-5.
doi: 10.1308/147870809X400912.

Hyponatraemia after orthopaedic surgery - a case of pituitary apoplexy

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Case Reports

Hyponatraemia after orthopaedic surgery - a case of pituitary apoplexy

Katharine Thomason et al. Ann R Coll Surg Engl. 2009 Apr.

Abstract

We describe a case of profound hyponatraemia in a postoperative patient after total hip replacement caused by corticosteroid insufficiency due to a non-functioning pituitary macroadenoma diagnosed by dynamic endocrine tests and radiological imaging. Adopting a multidisciplinary approach, successful diagnosis and management lead to a complete recovery without any long-term sequelae.

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Figures

Figure 1
Figure 1
T2-weighted coronal magnetic resonance images showing bleed into pituitary tumour

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