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Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (3): 429-431    DOI: 10.31083/j.ceog.2020.03.5257
Case Report Previous articles | Next articles
Pituitary apoplexy developing during pregnancy: escape from the verge of death
H. Cokmez1, *(), C. Bayram1
1Department of Obstetrics and Gynecology, Izmir Ataturk Education and Research Hospital, Karabaglar, Izmir, Turkey
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Abstract  

Objective: Pituitary apoplexy during pregnancy is extremely rare. Hypofunction of multiple glands due to pituitary hormone deficiency can be life threatening for the fetus and mother. A poorly functioning pituitary gland presents a variety of neurological and endocrinological symptoms, making it difficult to diagnose. The authors present a case of pituitary apoplexy in a 24-week pregnant woman who was not previously diagnosed with pituitary adenoma. Case Report: A 26-year-old woman who was 24 weeks into her first pregnancy presented with pituitary apoplexy, which included symptoms of increasing headache, nausea, vomiting, visual disturbances, and hypotensive attacks. With a multidisciplinary approach involving the departments of neurosurgery, endocrinology, gynaecology, and obstetrics, the patient underwent rapid replacement therapy and pituitary tumour excision. Pregnancy ended at the 39th week without any feto-maternal complication. Conclusion: Pituitary apoplexy developing during pregnancy is rare and, difficult to diagnose, and requires a multidisciplinary approach to achieve a successful outcome.

Key words:  Pituitary apoplexy      Pituitary neoplasms      Pregnancy     
Submitted:  17 May 2019      Accepted:  24 July 2019      Published:  15 June 2020     
*Corresponding Author(s):  HAKAN COKMEZ     E-mail:  hakancokmez@hotmail.com

Cite this article: 

H. Cokmez, C. Bayram. Pituitary apoplexy developing during pregnancy: escape from the verge of death. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(3): 429-431.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.03.5257     OR     https://ceog.imrpress.com/EN/Y2020/V47/I3/429

Figure 1.  — Sagittal T1-weighted MRI image of the pituitary gland.

Figure 2.  — Coronal T1-weighted MRI image of the pituitary gland.

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