Acute Secondary Adrenal Insufficiency Misdiagnosed as Acute Cholecystitis
Hypopituitarism refers to insufficient secretion of the pituitary hormones. Patients with acute adrenocorticotropic hormone (ACTH) deficiency may be presented with fatigue, dizziness, orthostatic hypotension, hypoglycemia, nausea, vomiting, or nonspecific abdominal pain. This study described an unus...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Endocrinology |
| Online Access: | http://dx.doi.org/10.1155/2021/8318747 |
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| author | Moslem Sedaghattalab Amir Hossein Doustimotlagh |
| author_facet | Moslem Sedaghattalab Amir Hossein Doustimotlagh |
| author_sort | Moslem Sedaghattalab |
| collection | DOAJ |
| description | Hypopituitarism refers to insufficient secretion of the pituitary hormones. Patients with acute adrenocorticotropic hormone (ACTH) deficiency may be presented with fatigue, dizziness, orthostatic hypotension, hypoglycemia, nausea, vomiting, or nonspecific abdominal pain. This study described an unusual case of hypopituitarism in a patient who presented with general abdominal pain, abdominal tenderness, nausea, vomiting, hypotension, and hypoglycemia. At first, the patient was admitted with the diagnosis of acute cholecystitis, but after treatment of hypopituitarism and adrenal insufficiency, his symptoms resolved completely, without the need for surgery. Hypopituitarism and secondary adrenal insufficiency should be considered in the differential diagnosis of the patients who present with acute abdomen, hypotension, or hypoglycemia. |
| format | Article |
| id | doaj-art-df752fe768274720b39b29f7cfaca2e4 |
| institution | OA Journals |
| issn | 2090-651X |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Endocrinology |
| spelling | doaj-art-df752fe768274720b39b29f7cfaca2e42025-08-20T02:21:09ZengWileyCase Reports in Endocrinology2090-651X2021-01-01202110.1155/2021/8318747Acute Secondary Adrenal Insufficiency Misdiagnosed as Acute CholecystitisMoslem Sedaghattalab0Amir Hossein Doustimotlagh1Department of Internal MedicineMedicinal Plants Research CenterHypopituitarism refers to insufficient secretion of the pituitary hormones. Patients with acute adrenocorticotropic hormone (ACTH) deficiency may be presented with fatigue, dizziness, orthostatic hypotension, hypoglycemia, nausea, vomiting, or nonspecific abdominal pain. This study described an unusual case of hypopituitarism in a patient who presented with general abdominal pain, abdominal tenderness, nausea, vomiting, hypotension, and hypoglycemia. At first, the patient was admitted with the diagnosis of acute cholecystitis, but after treatment of hypopituitarism and adrenal insufficiency, his symptoms resolved completely, without the need for surgery. Hypopituitarism and secondary adrenal insufficiency should be considered in the differential diagnosis of the patients who present with acute abdomen, hypotension, or hypoglycemia.http://dx.doi.org/10.1155/2021/8318747 |
| spellingShingle | Moslem Sedaghattalab Amir Hossein Doustimotlagh Acute Secondary Adrenal Insufficiency Misdiagnosed as Acute Cholecystitis Case Reports in Endocrinology |
| title | Acute Secondary Adrenal Insufficiency Misdiagnosed as Acute Cholecystitis |
| title_full | Acute Secondary Adrenal Insufficiency Misdiagnosed as Acute Cholecystitis |
| title_fullStr | Acute Secondary Adrenal Insufficiency Misdiagnosed as Acute Cholecystitis |
| title_full_unstemmed | Acute Secondary Adrenal Insufficiency Misdiagnosed as Acute Cholecystitis |
| title_short | Acute Secondary Adrenal Insufficiency Misdiagnosed as Acute Cholecystitis |
| title_sort | acute secondary adrenal insufficiency misdiagnosed as acute cholecystitis |
| url | http://dx.doi.org/10.1155/2021/8318747 |
| work_keys_str_mv | AT moslemsedaghattalab acutesecondaryadrenalinsufficiencymisdiagnosedasacutecholecystitis AT amirhosseindoustimotlagh acutesecondaryadrenalinsufficiencymisdiagnosedasacutecholecystitis |