title: Pituitary abscess presenting two years after the diagnosis of a pituitary lesion in a patient with panhypopituitarism.
abstract: Pituitary abscess is a rare condition. Here, we present the case of a young male patient who was initially found to have a pituitary lesion following the diagnosis of panhypopituitarism. Two years later, he presented with severe headache and was subsequently diagnosed intraoperatively with pituitary abscess. At a follow-up of 6 years after surgery, the patient was continuing to do very well. We discuss the differential diagnosis and demonstrate the evolution of the pituitary lesion on magnetic resonance imaging at four different time points: at the time of the detection of the initial lesion; two years later at the time of the diagnosis of the pituitary abscess; at 7 weeks post operatively; and finally after six years from the pituitary surgery.
authors.affiliation: Department of Medicine, Jordan University Hospital, Amman, Jordan.
authors.forename: Mohamad J
authors.initials: MJ
authors.lastname: Suleiman
authors.forename: Faris G
authors.initials: FG
authors.lastname: Bakri
authors.forename: Imad
authors.initials: I
authors.lastname: Zak
authors.forename: Qussay
authors.initials: Q
authors.lastname: Salih
authors.forename: Awni
authors.initials: A
authors.lastname: Musharabsh
authors.forename: Azmy
authors.initials: A
authors.lastname: Hadidy
authors.forename: Aiman
authors.initials: A
authors.lastname: Kasasbeh
authors.forename: Caramella F
authors.initials: CF
authors.lastname: Nimri
authors.forename: Nadima
authors.initials: N
authors.lastname: Shegem
authors.forename: Kamel
authors.initials: K
authors.lastname: Ajlouni
mesh_terms: D001706:Biopsy; D001922:Brain Abscess / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007018:Hypopituitarism / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010902:Pituitary Gland / Q000473:pathology; D012658:Sella Turcica / Q000473:pathology