Hyponatraemia after orthopaedic surgery - a case of pituitary apoplexy

Katharine Thomason, Kenneth Macleod, Keith S Eyres
Annals of the Royal College of Surgeons of England 2009, 91 (3): W3-5
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.

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