Primary pituitary tubercular abscess mimicking as pituitary adenoma.
Tubercular abscess of the pituitary fossa is rare and may lead to diagnostic uncertainty in a patient with absence of tuberculosis elsewhere in the body. We present a rare case report of a young lady who presented with sellar and suprasellar cystic mass. She was diagnosed as a case of pituitary macroadenoma and was intraoperatively found to harbor pus in the lesion. She did not have any symptoms of infection. The case underlines the importance of considering such a possibility in the differential diagnosis of cystic sellar lesions and further diagnostic tests should be done for confirmation and treatment of this rare and potential life threatening illness.
Department of Neurosurgery, Aditya Birla Memorial Hospital, Pune, India.
Rakesh
R
Ranjan
Pankaj
P
Agarwal
Shweta
S
Ranjan