Abstract
Apoplexy of the Pituitary gland is rarely seen critical disorder marked by acute throbbing of head / altered mental status / visual disturbances /decreased consciousness, due to sudden haemorrhagic changes of the pituitary or infarction of the same. There are numerous factors which precipitate apoplexy of the pituitary, sepsis being one of the least common cause, as is elaborated in this case study. Inspite of having a distinctive presentation, pituitary apoplexy eludes diagnosis and proper management as it is complicated by related co-morbidities. Its occurrence in a postpartum lady is an even rarer incident. This article shows a rare occurrence of apoplexy of macroadenoma in a postpartum woman which was managed conservatively.
Highlights
One of the commonest pituitary disorders seen in pregnancy is Pituitary adenomas [1]
Most cases of pituitary apoplexy are seen in patients who have as of yet unrecognized adenoma of the pituitary,with the apoplexy of the pituitary usually the initial feature of the pituitary tumour [2]
Sepsis is a recognized precipitating factor for pituitary apoplexy associated with pituitary adenomas
Summary
One of the commonest pituitary disorders seen in pregnancy is Pituitary adenomas [1]. Sepsis is a recognized precipitating factor for pituitary apoplexy associated with pituitary adenomas. Urinary tract infection caused the septicaemia [3]. Septicaemia in motherhood has not garnered the same interest and study as other major things causing death of mothers, even though sepsis is one of the cardinal reasons of elevated mortality and morbidity in pregnancy and the uncertain presence of new causative organisms (like novel influenza serotypes). International Consensus describes, sepsis as “life-threatening organ dysfunction caused by a dysregulated host response to infection.” [4]. We have a case of pituitary adenoma triggered into pituitary apoplexy by sepsis in a pregnant patient
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