Abstract
A 34-year-old female was admitted to our hospital, with complaints of epigastralgia, nausea and general fatigue on 4th October, 1985. Examination for gastro-intestinal system revealed no abnormal findings. However the patient mentioned that amenorrhea began within 2 years after her second delivery, and occasional headache happened.
Incidental x-ray films of the skull showed balloon like sella suggesting a diagnosis of empty sella. The test of pituitary gland showed decrease of plasma LH, FSH, and TSH. All symptoms disappeared one month following administration of T3 (75μg/day). Gonadal functions recovered gradually to physiological cycle following 2 years and a half of T3 administration.
An empty sella syndrome with gastro-intestinal symptoms and endocrine abnormalities is rather rare. T3 administration recovered the hormonal abnomalities.
