A Case of Postpartum Hypopituitarism Accompanied by Cushing's Syndrome as a Result of an Adrenocortical Carcinoma

• SENCAN Mehmet

  Department of Hematology, Faculty of Medicine, Cumhuriyet University

• DOKMETAS Hatice Sebila

  Department of Endocrinology, Faculty of Medicine, Cumhuriyet University

抄録

Sheehan's syndrome frequently causes hypopituitarism either immediately or after a delay of several years, depending on the degrees of postpartum ischemic pituitary necrosis. A 55 year-old woman whose last child was born 27 yr ago with massive hemorrhage was diagnosed as postpartum hypopituitarism. She had deficiency of growth hormone, prolactin, gonadotropins and thyrotropin. However, she interestingly had apparent hypercortisolism without suppression response to the dexamethasone tests. We found an adrenal mass with distant metastases to the liver and lung while investigating the origin of the hypercortisolism. Hyperandrogenism and very high levels of 17α hydroxyprogesterone were present. Accordingly, the patient was diagnosed as hypopituitarism due to Sheehan's syndrome accompanied by Cushing's syndrome as a result of an adrenocortical carcinoma.<br>

収録刊行物

• Endocrine Journal

  Endocrine Journal 52 (2), 219-222, 2005

  一般社団法人 日本内分泌学会

キーワード

• Sheehan's syndrome
• Hypopituitarism
• Hypercortisolism
• Adrenocortical carcinoma

詳細情報

• CRID: 1390282681277017216
• NII論文ID: 10015549109
• NII書誌ID: AA10901436
• DOI: 10.1507/endocrj.52.219
• COI: 1:STN:280:DC%2BD2M3ivVWmuw%3D%3D
• ISSN: 13484540
• ISSN: 09188959
• PubMed: 15863951
• Web Site: http://www.jstage.jst.go.jp/article/endocrj/52/2/52_2_219/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006060433
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
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