26 nov. 2009 ABORDAREA MULTIDISCIPLINARA A UNEI GRAVIDE CU INSUFICIENTA PANHIPOFIZARA
B.Ancar*, Gabriela Dumitru**, V.Cornea, G.Banceanu
* Clinica Ob-Gin Polizu, UMF ‘Carol Davila’, Bucuresti
** Spitalul Clinic Polizu, Bucuresti, sectia ATI
Rezumat
Prezentam cazul unei paciente care, dupa o prima nastere prin operatie cezariana, a suferit o suprarenalectomie bilaterala, cu insuficienta corticosuprarenala, si sindrom Nelson postoperator.
Dupa 3 ani de la prima nastere ramane din nou gravida, suferind in timpul sarcinii o apoplexie hipofizara. Sarcina a ajuns la termen, iar pacienta a nascut prin operatie cezariana un fat viu, masculin, 3900g, Apgar 9, clinic sanatos. Evolutia ulterioara a pacientei a fost favorabila, continuandu-si tratamentul de substitutie hormonala si monitorizarea in cadrul clinicii de endocrinologie.
Abstract – MULTIDISCIPLINARY APPROACH OF A PREGNANCY ASSOCIATED WITH PITUITARY APOPLEXY
This is the case of a patient that, after a first delivery by cesarean section, had to undergo a bilateral adrenalectomy, with adrenal hypofunction and Nelson syndrome occuring after surgery.
After 3 years she becomes pregnant again, during the pregnancy occuring a pituitary apoplexy. The pregnancy went to term, and she delivered, also by cesarean section, a male child, 3900g in weight, Apgar 9, clinically healthy. After the delivery the clinical condition of the patient went on well, continuing the hormone replacement therapy under the supervision of the Endocrinology clinic.