Amelioration of Acromegaly after Pituitary Infarction Due to Gastrointestinal Hemorrhage from Gastric Ulcer

Endocrine Journal

SHOZO YAMADA¹  TOSHIAKI SANO⁴  TOSHIHIRO IMAKI³  MARIKO TSUCHIYA²  SHOKO HARADA³  HIROSHI DEMURA³ 

[1] Department of Neurosurgery, Toranomon Hospital;Institute of Geriatrics, Tokyo Women's Medical College;Second Department of Medicine, Tokyo Women's Medical College;Department of Pathology, School of Medicine, The University of Tokushima

关键词: Acromegaly;    Pituitary infarction;    Pituitary apoplexy;    Gastrointestinal bleeding;   

DOI  :  10.1507/endocrj.46.147

学科分类：内分泌与代谢学

来源: Japan Endocrine Society

【 摘 要 】

References(21)Cited-By(7)We report a rare case of acromegaly in which pituitary infarction possibly developed in a GH-producing pituitary adenoma following gastrointestinal bleeding from peptic ulcer. In this case, pituitary infarction resulted in spontaneous remission of acromegaly associated with diabetes mellitus. In addition, detailed histological investigation revealed that clinically silent pituitary apoplexy was mainly an acute ischemic event which occurred recently in a GH-producing adenoma. This event led to massive coagulation necrosis of the tumor and endocrinological improvement.

【 授权许可】

Unknown