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Abscess formation in invasive pituitary adenoma: case report
R N Jadhav1, H V Dahiwadkar, D A Palande
1Department of Neurosurgery, Sir J.J. Group of Hospitals, Bombay, Byculla, India.
Neurosurgery
|September 11, 1998
Summary
This case report highlights a rare pituitary abscess within a pituitary adenoma. Early surgical debulking and antibiotic treatment are crucial for managing this condition.
Area of Science:
- Endocrinology
- Neurosurgery
- Radiology
Background:
- Pituitary abscesses are uncommon, with secondary abscesses in pituitary adenomas being exceptionally rare.
- This report details the first documented case of a pituitary adenoma with an abscess, including magnetic resonance imaging findings.
Observation:
- A 22-year-old male presented with progressive vision loss, headache, and vomiting.
- Imaging revealed a sellar tumor with a cystic component, suggestive of a pituitary adenoma with abscess.
- Surgical debulking of the tumor exposed a central abscess.
Findings:
- The patient underwent a right pterional craniotomy for tumor debulking.
- Post-operative antibiotic therapy was initiated.
- The central abscess within the pituitary adenoma was successfully managed.
Implications:
- This case underscores the importance of considering pituitary abscess in the differential diagnosis of sellar masses.
- Prompt surgical intervention combined with appropriate antibiotic therapy is essential for favorable outcomes.
- This report provides valuable imaging insights into a rare pituitary adenoma complication.