World Journal of Endocrine Surgery

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VOLUME 12 , ISSUE 3 ( September-December, 2020 ) > List of Articles

REVIEW ARTICLE

Prolonged Hyponatremia after Pituitary Surgery: A Case Report and Literature Review

Meriem Yazidi, Marwa Ben Jemaa, Ibtissem Oueslati, Fatma Chaker, Melika Chihaoui

Keywords : Cerebral salt-wasting syndrome, Hyponatremia, Pituitary gland, Syndrome of inappropriate secretion of antidiuretic hormone, Transsphenoidal surgery

Citation Information : Yazidi M, Jemaa MB, Oueslati I, Chaker F, Chihaoui M. Prolonged Hyponatremia after Pituitary Surgery: A Case Report and Literature Review. World J Endoc Surg 2020; 12 (3):128-131.

DOI: 10.5005/jp-journals-10002-1305

License: CC BY-NC 4.0

Published Online: 02-08-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Hyponatremia is commonly seen after pituitary surgery. It generally occurs within the first week after surgery and is usually moderate and asymptomatic. However, it may be severe and prolonged in some cases. Different etiologies can explain this hyponatremia. The syndrome of inappropriate antidiuretic hormone secretion (SIADH) is one of the most common etiologies, but other differential diagnoses must be ruled out before making this diagnosis. In this article, we present a case of prolonged hyponatremia caused by SIADH occurring after transsphenoidal surgery for a non-functioning pituitary macroadenoma. We revise the different etiologies of hyponatremia following pituitary surgery and their treatment.


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