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Pituitary abscess associated with prolactinoma.
Awadhesh Kumar Jaiswal1, A K Mahapatra, M C Sharma
1Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi 110029, India. akmahapatra_22000@yahoo.com
Summary
A giant pituitary adenoma caused menstrual abnormalities, galactorrhoea, and vision loss. Surgical removal and Escherichia coli treatment led to a full recovery.
Area of Science:
- Endocrinology
- Neurosurgery
- Infectious Diseases
Background:
- Pituitary adenomas can cause significant hormonal and visual disturbances.
- Giant pituitary adenomas (GPAs) are rare and often present with mass effect symptoms.
Observation:
- A 37-year-old female presented with menstrual irregularities, galactorrhoea, and progressive visual loss.
- Skull X-ray revealed an enlarged sella with floor destruction.
- CT scan showed a giant pituitary adenoma with sellar and parasellar extension.
Findings:
- Transsphenoidal surgery revealed solid and cystic areas containing pus.
- Escherichia coli was cultured from the cystic material, indicating infection.
- The patient experienced an uneventful postoperative recovery.
Implications:
- This case highlights the importance of considering infection in pituitary adenomas presenting with rapid or unusual symptoms.
- Successful management involved surgical decompression and targeted antibiotic therapy.
- Long-term follow-up confirmed a positive outcome, underscoring effective treatment strategies for complex pituitary adenomas.