受精ジャーナル:体外受精 - 体外受精 - 世界中、生殖医学、遺伝学、幹細胞生物学
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概要

Hypopituitarism Secondary to Unruptured Intrasellar Aneurysm Misdiagnosed as Pituitary Adenoma: A Case Report

Jashoman Banerjee, Sana N Khan, Solafa Elshatanoufy and Manvinder Singh

Background: Hypopituitarism secondary to intrasellar aneurysms is not extremely common. Most of the clinical manifestations are secondary to apoplexy or rupture of the aneurysm. Hypopituitarism and hyperprolactinemia are common endocrinopathies encountered with ruptured intrasellar aneurysms.
Case: A 37 year-old female presented for management of secondary infertility with past medical history significant for long standing amenorrhea and a pituitary mass, not requiring treatment. She was taken to surgery for surgical excision of pituitary mass but on day of surgery was diagnosed to have an intrasellar aneurysm instead. Fortunately the patient never experienced complications of aneurysm rupture and currently stable under management for hypopituitarism.
Conclusion: Diagnosing an intrasellar aneurysm as a cause of hypopituitarism is of critical importance and a team approach is essential with consultants in radiology, endocrinology and neurosurgery.