Double trouble: A case report of abnormal uterine bleeding due to both central and peripheral pathology

A 46-year-old female came to the gynecology outpatient department with heavy and prolonged menstrual bleeding. The examination revealed a thyroid mass and tachycardia. Systemic and gynecological examinations were insignificant. Laboratory tests revealed a deranged thyroid profile which was further e...

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Bibliographic Details
Published in:International journal of applied and basic medical research 2022-04, Vol.12 (2), p.134-136
Main Authors: Lavadi, Raj, Venkatachalaiah, Ranjitha, Prasad, Madhva
Format: Article
Language:English
Subjects:
Case Report
Case reports
Contraceptives
Endometrium
Hyperplasia
Menstruation
Thyroid gland
Thyrotropin
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Summary:A 46-year-old female came to the gynecology outpatient department with heavy and prolonged menstrual bleeding. The examination revealed a thyroid mass and tachycardia. Systemic and gynecological examinations were insignificant. Laboratory tests revealed a deranged thyroid profile which was further explored by performing magnetic resonance imaging. This revealed a functioning pituitary microadenoma producing thyroid-stimulating hormone (TSH). This entity is known as a TSHoma. Ultrasonography of the abdomen and pelvis showed increased endometrial thickness. The patient was treated with antithyroid medication and has undergone Mirena intrauterine contraceptive device insertion. The patient is planned for a hysterectomy when the thyroid profile is normalized.
ISSN:2229-516X
2248-9606
DOI:10.4103/ijabmr.ijabmr_500_21