Pituitary macroadenoma presenting with pituitary apoplexy, acromegaly and secondary diabetes mellitus - a case report.
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Date
2013-05Author
Nganga, HK
Lubanga, RP.
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Pituitary adenomas are associated with significant morbidity. The usual symptoms on presentation are of endocrine dysfunction and mass effects. A 31-year-old African female presented with headache, irregular menses, blurring of vision in the right eye and complete loss of vision in the left eye for 1 year. She had coarse facial features, enlarged hands and feet. Her right eye had temporal hemianopia with decreased visual acuity and her left eye had no perception of light. Investigations revealed an elevated fasting blood sugar and an elevated prolactin and growth hormone level. A CT scan and MRI done showed a hemorrhagic pituitary macroadenoma. She was put on bromocriptine, ocreotide, analgesics and insulin. Thereafter, she underwent transphenoidal surgery, where near total resection of the tumor was achieved. Patient is doing well post-operatively. This case highlights the importance of the use of a high clinical index of suspicion and radiological findings in diagnosis.
KEYWORDS:
CT scan, MRI, Pitutary macroadenoma, acromegaly, diabetes mellitus
Citation
Pan Afr Med J. 2013 May 31;15:39. doi: 10.11604/pamj.2013.15.39.2054. eCollection 2013.Publisher
University of Nairobi
Collections
- Faculty of Health Sciences (FHS) [10378]