Pituitary apoplexy developing during pregnancy: escape from the verge of death

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 dif...

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Main Authors: H. Cokmez, C. Bayram
Format: Article
Language:English
Published: IMR Press 2020-06-01
Series:Clinical and Experimental Obstetrics & Gynecology
Subjects:
Online Access:https://www.imrpress.com/journal/CEOG/47/3/10.31083/j.ceog.2020.03.5257
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author H. Cokmez
C. Bayram
author_facet H. Cokmez
C. Bayram
author_sort H. Cokmez
collection DOAJ
description 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.
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spelling doaj-art-bb156b6991294841b889b534dcf0ff3e2025-08-20T02:19:11ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632020-06-0147342943110.31083/j.ceog.2020.03.5257S0390-6663(20)00282-1Pituitary apoplexy developing during pregnancy: escape from the verge of deathH. Cokmez0C. Bayram1Department of Obstetrics and Gynecology, Izmir Ataturk Education and Research Hospital, Karabaglar, Izmir, TurkeyDepartment of Obstetrics and Gynecology, Izmir Ataturk Education and Research Hospital, Karabaglar, Izmir, TurkeyObjective: 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.https://www.imrpress.com/journal/CEOG/47/3/10.31083/j.ceog.2020.03.5257pituitary apoplexypituitary neoplasmspregnancy
spellingShingle H. Cokmez
C. Bayram
Pituitary apoplexy developing during pregnancy: escape from the verge of death
Clinical and Experimental Obstetrics & Gynecology
pituitary apoplexy
pituitary neoplasms
pregnancy
title Pituitary apoplexy developing during pregnancy: escape from the verge of death
title_full Pituitary apoplexy developing during pregnancy: escape from the verge of death
title_fullStr Pituitary apoplexy developing during pregnancy: escape from the verge of death
title_full_unstemmed Pituitary apoplexy developing during pregnancy: escape from the verge of death
title_short Pituitary apoplexy developing during pregnancy: escape from the verge of death
title_sort pituitary apoplexy developing during pregnancy escape from the verge of death
topic pituitary apoplexy
pituitary neoplasms
pregnancy
url https://www.imrpress.com/journal/CEOG/47/3/10.31083/j.ceog.2020.03.5257
work_keys_str_mv AT hcokmez pituitaryapoplexydevelopingduringpregnancyescapefromthevergeofdeath
AT cbayram pituitaryapoplexydevelopingduringpregnancyescapefromthevergeofdeath