Endoscopic Trans-Sphenoidal Drainage of Pituitary Abscess: A Rare Case Report
ثبت نشده
چکیده
It may occur either de novo or as a result of hematogenous spread or spread from a contiguous focus of infection such as meningitis and sphenoiditis [3]. The most commonly isolated pathogens are Staphylococcus spp. and Streptococcus spp., followed by Neisseria spp., Micrococcus, Citrobacter spp., Escherichia coli, Brucella, Salmonella, Corynebacterium & Mycobacterium [5]. However, in immunosuppressed patients, Aspergillus, Candida and Histoplasma are the most frequent pathogens [6]. Preoperative diagnosis is difficult because of rarity of disease, nonspecific symptoms and ring enhancing other pituitary lesions [7]. Endoscopic Trans-sphenoidal excision (TSS) of the lesion with decompression of the sella is the most effective and safe approach for patients presenting with mass effect, followed by antibiotics for 4 6 weeks, seems most acceptable treatment modalities in most of the literatures [8-10]. Case Report
منابع مشابه
Pituitary Abscess: a Report of Two Cases
Background and Importance: Abscess of the hypophysis or pituitary adenoma is a very rare entity, and its preoperative diagnosis could be challenging. The clinical presentation is less specific, and despite the recent advancement in imaging, diagnosis before surgery is still difficult. Case Presentation: We reported two cases of pituitary abscesses in patients aged 38 and 42 years. The first ...
متن کاملMononostril versus binostril versus one and a half Nostril Endoscopic Trans sphenoidal approach for pituitary adenoma
Background and Aim: Over the past 2 decades, endoscopy has become an integral part of the surgical repertoire for pituitary procedures and over the past several decades, the endoscopic endonasal trans sphenoidal approach (EETA) has gradually become an accepted option for pituitary tumors with intra-,supra-,and para-sellar location and extension, because of its minimal invasiveness and high effi...
متن کاملSecondary headache due to aspergillus sellar abscess simulating a pituitary neoplasm: case report and review of literature
Fungal sellar abscess is rare. A 42-year-old man was admitted with 2-month headache characterized by right peri-orbital pain. An intrasellar mass was found to be simulated a pituitary neoplasm after magnetic resonance imaging examination, and operated on via an endoscopic trans-sphenoidal approach. Milk-like pus and a mass of ash black mixed and necrotic material were found and removed. Histopa...
متن کاملRathke cleft cyst masquerading as pituitary abscess
BACKGROUND Rathke cleft cyst (RCC) is a rare cystic sellar entity, which is usually small in size and asymptomatic in most patients. RCC presenting panhypopituitarism and a cystic lesion with rim enhancement on magnetic resonance imaging is extremely rare. Therefore, it is easy to be misdiagnosed as pituitary abscess because of the similar clinical manifestations and neuroimaging changes. CAS...
متن کاملPituitary abscess
Pituitary abscess is an uncommon pituitary lesion. Its clinical diagnosis can be difficult to distinguish from other pituitary lesions. This pathology is characterised by vague symptoms of headaches, generalised tiredness and hypopituitarism manifestations. A history of recent meningitis, paranasal sinusitis or head surgery can be a suggestive of the source of infection.A 20-year-old man was ad...
متن کامل