Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2022; 10(20): 7029-7036
Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.7029
Hypopituitary syndrome with pituitary crisis in a patient with traumatic shock: A case report
Xing-Cheng Zhang, Yun Sun
Xing-Cheng Zhang, Yun Sun, Department of Critical Care Medicine, The Second Affiliated Hospital, Anhui Medical University, Hefei 230601, Anhui Province, China
Author contributions: Zhang XC and Sun Y participated in the conception and drafted the manuscript; Sun Y read and approved the final manuscript.
Supported by the Doctoral Research Fund Project of The Second Affiliated Hospital of Anhui Medical University, No. 2018BSJJ005.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicting interests to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yun Sun, MD, Adjunct Associate Professor, Chief Doctor, Teacher, Department of Critical Care Medicine, The Second Affiliated Hospital, Anhui Medical University, No. 678 Furong Road, Hefei 230601, Anhui Province, China. 435185168@qq.com
Received: November 14, 2021
Peer-review started: November 14, 2021
First decision: March 24, 2022
Revised: April 1, 2022
Accepted: May 22, 2022
Article in press: May 22, 2022
Published online: July 16, 2022
Processing time: 232 Days and 12.7 Hours
Core Tip

Core Tip: Here, we report that a patient was initially misdiagnosed with hypovolemic shock and later developed persistent hypotension due to continuous fluid replacement along with vasoactive drug administration. The patient was eventually diagnosed with hypopituitarism with a pituitary crisis, and the case was identified as pituitary adenoma with multiple lesions, which limited the corresponding endocrine system function. The most apparent manifestation was unstable blood circulation and hormone replacement therapy requirement. The presentation was relatively rare but could happen if multiple injuries persisted. This case can be a reference for the clinical treatment of patients with multiple injuries, and is different from a hypopituitary-pituitary crisis secondary to craniocerebral trauma. Hypopituitary-pituitary crisis in trauma patients is rarely reported in the literature.