A case of secretory (functioning) pituitary macro adenoma:-prolactinoma and acromegaly.

We are reporting a rare case of secretory pituitary macro adenoma in a 25 years-old man from Addis Ababa with head ache and visual difficulty of 8 months. Clinical chemistry revealed prolactinomas and plain radiography (Skull & extremities) revealed features of acromegaly. Brain CT scan showed features of pituitary macro adenoma. Current literature states that macro adenomas are not secretory while micro adenomas are, and prolactinomas are the most common of all these micro adenomas, followed by acromegaly. Our case is probably the first ever reported macro adenoma in Ethiopia with features of prolactinoma and acromegaly.