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Intra‐operative diagnosis of hypopituitarism in a patient undergoing radical nephrectomy
Author(s) -
Pillai P.,
Spears F. D.
Publication year - 2005
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2005.04230.x
Subject(s) - medicine , hypopituitarism , nephrectomy , subclinical infection , anesthesia , surgery , general anaesthesia , elective surgery , kidney , pediatrics
Summary A 43‐year‐old woman presented for elective radical nephrectomy. After induction of anaesthesia, she developed hypotension that failed to respond to standard treatment measures. Her core temperature decreased to 34 °C in spite of active warming. She required very low concentrations of anaesthetic agents to maintain an adequate depth of anaesthesia for abdominal surgery. After excluding the common causes of hypotension, the possibility of subclinical hypopituitarism was considered and subsequently confirmed.