title: Irreformable hyponatremia: a case report of pituitary dysfunction with liver cirrhosis.
abstract: The diagnosis of pituitary dysfunction is very difficult in inpatients with liver cirrhosis, because the symptoms are intricate and similar. We here report a case of a male patient complaining of fatigue and anorexia for more than two years. On duration of hospital stay, hyponatremia was irreformable. Magnetic resonance imaging of the pituitary revealed the presence of cystic pituitary and abnormal signal in the left frontal lobe. The patient was also suspected to be infective endocarditis. Recognition of this unusual complication of this condition is important for the patients with chronic liver disease.
authors.affiliation: Department of Gastroenterology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Zhong
authors.forename: Yan
authors.initials: Y
authors.lastname: Chen
authors.forename: Liang-jing
authors.initials: LJ
authors.lastname: Wang
mesh_terms: D004696:Endocarditis / Q000175:diagnosis; D006801:Humans; D007010:Hyponatremia / Q000175:diagnosis; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010900:Pituitary Diseases / Q000175:diagnosis*