垂体脓肿 1 例

Case of an atypical pituitary abscess.

机构信息

Endocrinology, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.

Medicine, Uniformed Services University of the Health Sciences, F. Edward Hebert School of Medicine, Bethesda, Maryland, USA.

出版信息

BMJ Case Rep. 2021 Nov 30;14(11):e246776. doi: 10.1136/bcr-2021-246776.

DOI:10.1136/bcr-2021-246776

PMID:34848428

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8634284/

Abstract

A pituitary abscess is a rare intrasellar infection. Correct identification can be challenging preoperatively given its non-specific symptoms and imaging findings. We report a case of a young woman presenting with secondary amenorrhea, visual field deficits and a 2.6 cm pituitary lesion diagnosed to be a craniopharyngioma. A concomitant unexpected pituitary abscess was diagnosed intraoperatively without associated meningeal symptoms.

摘要

垂体脓肿是一种罕见的鞍内感染。由于其非特异性症状和影像学表现，术前正确诊断具有挑战性。我们报告了一例年轻女性，表现为继发性闭经、视野缺损和 2.6 厘米的垂体病变，诊断为颅咽管瘤。术中意外诊断出并发的垂体脓肿，但无相关脑膜症状。