Endoscopic Trans-Sphenoidal Drainage of Pituitary Abscess: A Rare Case Report

Abstract

Background Pituitary abscess is less common but life threating which is usually misdiagnosed as pituitary tumor pre operatively in spite of radiological advancement Definite diagnosis is possible only postoperatively Material and methods we report a case of years old woman admitted in our department with symptoms of headache visual impairment and pituitary dysfunction MRI brain revealed sellar and supra sellar mass consistent with pituitary tumor She eventually underwent endoscopic trans sphenoidal removal Per operatively pus was evident A month later she was well and fully recovered pituitary function Results The histopathological examination confirmed presence wall of abscess cavity however Culture showed no growth Conclusion This case report gives emphasis on the importance of considering pituitary abscess as a differential diagnosis in patients with sella supra sellar mass Early diagnosis and surgical management of a pituitary abscess significantly decreases morbidity and mortality and it also helps to establish the definite diagnosis