Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2009 Apr;91(3):W3-5.
doi: 10.1308/147870809X400912.

Hyponatraemia after orthopaedic surgery - a case of pituitary apoplexy

Katharine Thomason  1 , Kenneth Macleod, Keith S Eyres
Affiliations
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.

PubMed Disclaimer

Figures

Figure 1
Figure 1
T2-weighted coronal magnetic resonance images showing bleed into pituitary tumour
See this image and copyright information in PMC

References

    1. Flear CTG, Gill GV, Burns J. Hyponatraemia: mechanism and management. Lancet. 1981;2:26–31. - PubMed
    1. Malin JW, Kolstad K, Rothman RH. Thiazide-induced hyponatraemia in the postoperative total joint replacement patient. Orthopaedics. 1997;20:681–3. - PubMed
    1. McPherson E, Dunsmuir RA. Hyponatraemia in hip fracture patients. Scot Med J. 2002;47:115–6. - PubMed
    1. Lane N, Allen K. Hyponatraemia after orthopaedic surgery. BMJ. 1999;318:1363–4. - PMC - PubMed
    1. Electronic responses. Hyponatraemia after orthopaedic surgery. eBMJ. 1999;318 < www.bmj.com/cgi/content/full/318/7195/1363>. - PMC - PubMed

Publication types