Panhypopituitarism Due to Internal Carotid Artery Branch Aneurysm Compressing Pituitary Gland.

Background: Panhypopituitarism due to compression of pituitary gland by internal carotid artery branch aneurysm is extremely rare.

Case Presentation: A 70 year old male presented with history of fall and altered sensorium. Investigations revealed hyponatremia , hypopituitarism and sellar mass.

Megaloblastic anemia presenting with massive reversible splenomegaly.

Megaloblastic anemia (MA) is a common disorder with varied manifestations. It generally results in mild to moderate splenomegaly which is due to sequestration of macrocytic erythrocytes in spleen. Massive splenomegaly is generally seen in infections, myeloproliferative diseases, neoplasms, storage disorders or hematological conditions; but is not heard of and has rarely been reported in MA.