Pituitary Abscess Presenting as an Adenoma: A Case Report and Review of Literature

  • Akram Khan
  • Khurram Khan Saint Louis University School of Medicine
  • Anantha N. Manepali Saint Louis University School of Medicine
  • Richard D. Bucholz Saint Louis University School of Medicine
  • Kent R Wehmeier Saint Louis University School of Medicine
Keywords: Pituitary abscess, sellar mass, infection, pituitary adenoma

Abstract

We report the case of a patient with a pituitary abscess who presented four months postpartum with pituitary insufficiency and a mass lesion diagnosed as an adenoma. The mass was found to be a sterile abscess at surgery. A pituitary abscess, although rare, should be kept in mind during evaluation for hypopituiarism and sellar masses,  especially with systemic signs of infection. Treatment consists of debridement, systemic administration of antibiotics, and hormonal replacement.

http://dx.doi.org/10.5915/39-2-6492

Author Biographies

Akram Khan
Department of Internal Medicine
Saint Louis University School of Medicine
Saint Louis, Missouri
Khurram Khan, Saint Louis University School of Medicine
Department of Internal Medicine
Anantha N. Manepali, Saint Louis University School of Medicine
Department of Pathology
Richard D. Bucholz, Saint Louis University School of Medicine
Department of Neurosurgery
Kent R Wehmeier, Saint Louis University School of Medicine
Department of Internal Medicine
Section
Case Reports