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Case Report

Partial Empty Sella Syndrome Presenting to Emergency as a Case of Recurrent Hyponatremia: A Rare Presentation

Rigenjyoti Kalita MEM Resident, Department of Emergency Medicine Max Hospital, Shalimar Bagh, New Delhi – 110088, India , Kishalay Datta , Rigenjyoti Kalita , Anita Rawat , Indranil Das

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Indian Journal of Emergency Medicine 3(1):p 137-140, January - June 2017. | DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3117.22

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Abstract

Electrolyte disturbance is a common finding in elderly individuals presenting to emergency with disturbed level of consciousness and hyponatremia is one of the commonest cause associated with lots of other clinical disorders . Most of these cases managed conservatively with sodium replacement and got discharged after correction of dyselectrolytaemia.Hyponatremia as the presenting manifestation of Empty sella syndrome (ESS) is rare. There is little clinical experience in the management and diagnosis of this problem and patient tends to present repeatedly to emergency due to electrolyte disturbances. We hereby report a case of 51 year old female with past history of CAD undergone coronary intervention presenting to emergency with diffuse pain abdomen,unable to pass flatus and vomiting mimicking symptoms of subacute intestinal obstruction found to have Recurrent hyponatremia during her hospital stay due to Partial Empty sella syndrome (ESS) .
 

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3117.22

Keywords

Hyponatremia; Glucocorticoids; Empty Sella Syndrome (ESS) Coronary Artery Disease-Triple Vessel Disease (CAD-TVD)Cerebro Spinal Fluid (CSF). Intra Cranial Haemorrhage (ICH).

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