Sphenoid sinus mucocele: a rare complication of transsphenoidal hypophysectomy.
Only seven cases of a sphenoid mucocele occurring after transsphenoidal hypophysectomy have been previously reported in the world literature. In this article, we report a new case, which occurred in a 67-year-old man. The sphenoid sinus mucocele developed 12 years following transsphenoidal hypophysectomy and adjunctive radiotherapy. The patient was successfully managed with incision and drainage. Although transsphenoidal hypophysectomy is a common operation, this particular complication appears to be rare or at least under-reported. Sphenoid sinus mucocele deserves consideration in the differential diagnosis of a sphenoidal parasellar mass in a patient who has undergone an earlier transsphenoidal hypophysectomy.
Buchinsky
F J
FJ
Department of Pediatric Otolaryngology, Allegheny General Hospital, 320 E. North Ave., Pittsburgh, PA 15212-4772, USA. fbuchins@wpahs.org
Gennarelli
T A
TA
Strome
S E
SE
Deschler
D G
DG
Hayden
R E
RE
D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D007016:Hypophysectomy / Q000009:adverse effects* / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008297:Male; D009078:Mucocele / Q000175:diagnosis* / Q000209:etiology*; D013101:Sphenoid Sinus / Q000473:pathology*