ECE2008 Poster Presentations Neuroendocrinology (107 abstracts)
Pituitary abscess: a case report
Andrzej Darczuk 1 , Malgorzata Trofimiuk 1 , Justyna Gil 1 , Alicja Hubalewska-Dydejczyk 1 , Wlodzimierz Mnich 2 & Dariusz Adamek 3
1Departament, Collegium Medicum, Jagiellonian University, Krakow, Poland; 2Neurosurgery and Neurotraumatology Departament, Collegium Medicum, Jagiellonian University, Krakow, Poland; 3Neuropathology Departament, Collegium Medicum, Jagiellonian University, Krakow, Poland.
Pituitary abscess is a very rare entity, only 200 cases (mostly the complication of the pituitary surgery) has been described so far.
We want to present the case of pituitary abscess arising from Rathke’s cyst.
Case report: Seventy-years-old female treated due to clinical depression, was admitted to the Endocrinology Department because of profound hyponatremia (serum Natrium 119 mmol/l). She was diagnosed with plurihormonal anterior pituitary insufficiency. After implementation of substitution with hydrocortisone and levothyroxin hyponatremia resolved. Pituitary MR revealed expansive tumor, hyperintensive on T2-weighted images, suggesting the Rathke’s cyst. Mild hyperprolactinaemia was attributed to the pituitary stalk compression by the tumour and the treatment with antidepressants. The patient was referred to the Neurosurgery Department, where the tumor was removed by the transsphenoidal approach. Histopathological evaluation revealed a cyst filled with non-specific granulation and fibrous tissue and planoepithelial metaplasia of the cyst wall. The tumour invaded the sphenoid sinus. The surgery was complicated by late cerebrospinal fluid leakage.
Conclusions: Pituitary tumor may be a difficult diagnostic dilemma, particularly in the absence of the general symptoms. Although sellar abscess is extremely rare, it may be suspected in patient with invasive cystic lesion in the pituitary. The correct diagnosis may be made only based on histopathological examination.
Article tools
My recent searches
My recently viewed abstracts
Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
© Bioscientifica 2024 |
Privacy policy |
Cookie settings
BiosciAbstracts
Bioscientifica Abstracts is the gateway to a series of products that provide a permanent, citable record of abstracts for biomedical and life science conferences.
Find out more