Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2023; 11(24): 5817-5822
Published online Aug 26, 2023. doi: 10.12998/wjcc.v11.i24.5817
Persistent postoperative hypotension caused by subclinical empty sella syndrome after a simple surgery: A case report
Kang-Mei Zhao, Jia-Sheng Hu, Sheng-Mei Zhu, Ting-Ting Wen, Xiang-Ming Fang
Kang-Mei Zhao, Sheng-Mei Zhu, Ting-Ting Wen, Xiang-Ming Fang, Department of Anesthesiology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China
Jia-Sheng Hu, Department of Anesthesiology, Sanmen People’s Hospital, Sanmen 317100, Zhejiang Province, China
Author contributions: Zhao KM, Hu JH and Zhu SM were the patient’s anesthesiologists, and they reviewed the literature and drafted the text of the manuscript; Wen TT prepared the table and the figure; Fang XM and Wen TT reviewed the literature and revised the manuscript; all authors reviewed the manuscript and issued final approval of the version for submission.
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 conflict of interest.
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: Xiang-Ming Fang, MD, Chief Doctor, Professor, Department of Anesthesiology, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Road, Hangzhou 310003, Zhejiang Province, China. xmfang@zju.edu.cn
Received: June 10, 2023
Peer-review started: June 10, 2023
First decision: June 21, 2023
Revised: July 10, 2023
Accepted: August 1, 2023
Article in press: August 1, 2023
Published online: August 26, 2023
Processing time: 75 Days and 23.3 Hours
Core Tip

Core Tip: Perioperative hypotension is commonly caused by hypovolemia, reduced vascular tone and cardiac insufficiency. Occasionally, perioperative hypotension can be attributed to an endocrine etiology such as empty sella syndrome, as in our patient, which led to decreased adrenocorticotropic hormone secretion and secondary adrenal insufficiency. Therefore, clinicians managing persistent hypotension should consider the endocrine dysfunctions when common hypotension causes are excluded.