Central Diabetes Insipidus Diagnosed After Gynecologic Surgery: A Case Report
 
Tables


 

Table 1. Laboratory Test Results at 1 Week Before Admission
 

Hematology

 

   WBC

5,600/mm3

   RBC

528 × 104/mm3

   Hemoglobin

14.2 g/dL

   Hematocrit

44.9%

   Platelet

 

16.3 × 104/mm3

Blood Coagulation Test

 

   International Normalized Ratio of Prothrombin Time

 

1.05

Blood Chemistry

 

   Total Protein

7.7 g/dL

   Albumin

4.1 g/dL

   AST*

49 IU/L

   ALT*

57 IU/L

   LDH

223 IU/L

   ALP*

321 IU/L

     gGTP*

73 IU/L

   Total Birirubin

0.6 mg/dL

   CPK

48 IU/L

   BUN

5.8 mg/dL

   Cre

0.52 mg/dL

   Na

141 mEq/L

   K

4.4 mEq/L

   Cl

96 mEq/L

   CRP

0.03 mg/dL

   LDL-Cholesterol*

168 mg/dL

   HDL-Cholesterol

54 mg/dL

   Triglyceride

138 mg/dL

   FBS

98 mg/dL

   HbA1c

 

5.2%

Serology

 

   HBsAg

negative

   HCV-Ab

negative

   Anti-nuclear Antibody

< 40

   Anti-mitochondrial M2 Antibody

< 6.7 U/mL

   IgG

1,890 mg/dL

   IgM

168 mg/dL

   IgA

250 mg/dL


*These values are outside the normal range.


 

Table 2. Plasma Hormone Concentrations on the First Postoperative Day
 

 

Measured Value

Normal Range

GH

1.02 ng/mL

0.28 - 1.64

PRL

9.57 ng/mL

6.12 - 30.54

ACTH

15.8 pg/mL

7.2 - 63.3

Cortisol

20.5 mg/mL*

4.0 - 18.3

TSH

1.24 pg/mL

0.43 - 3.78

Free T3

2.4 pg/mL

2.1 - 4.1

Free T4

1.2 ng/dL

1.0 - 1.7

PRA

3.5 ng/mL/hr*

0.2 - 2.7

Aldosterone

225 pg/mL*

30 -159


ACTH, adrenocorticotropic hormone; AVP, arginine vasopressin; GH, growth hormone; PRA, plasma renin activity; PRL, prolactin; TSH, thyroid-stimulating hormone. * These values are outside the normal range.


 

Table 3. Results of Vasopressin Test
 

 

Plasma Osmorality*

Urinary Osmorality*

Pre-administration

286

165

2 hour after AVP Administration

284

512


AVP, arginine vasopressin. *Units: mOsm/kg.