Double Trouble: A Case Report of Abnormal Uterine Bleeding due to Both Central and Peripheral Pathology
Raj Swaroop Lavadi1, Ranjitha Venkatachalaiah1, Madhva Prasad1
1Department of OBG, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.
Abstract:
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.
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