This report details the management of a patient with a primary pituitary abscess with secondary amenorrhea, mimicking pituitary adenoma. The preoperative diagnosis of intra- and suprasellar pituitary abscess was established by X-ray examination of the skull, CT-scans and anamnesis. After transsphenoidal removal of the abscess with accompanying antibiotic therapy the patient had a progressive and nearly complete recovery with normalization of menstruation.
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Article Synopsis
- A pituitary adenoma located in the suprasellar region without affecting the Sella turcica is rare, with limited documented cases in medical literature.
- Accurate diagnosis relies heavily on imaging techniques like MRI, which helps differentiate it from similar conditions including a Rathke cleft cyst, various tumors, and infections.
- The case of a 48-year-old woman with vision issues demonstrated the presence of an ectopic pituitary adenoma near critical brain structures such as the pituitary stalk and optic chiasm.
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