Work

Laparoscopic surgery-induced pituitary apoplexy

Year: 2023

Type: article

Abstract: Pituitary apoplexy (PA) is a rare and potentially serious complication seen in patients with rare pituitary adenoma. It is characterized by hemorrhagic infarction of the pituitary gland, resulting in an abrupt increase in tissue volume in the sellar region, causing headache, visual impairment, cranial nerve paralysis and even impaired consciousness. This article presents the report of a patient who underwent elective laparoscopic cholecystectomy and presented pituitary apoplexy as a complication. A 47-year-old male patient was admitted to our hospital for elective video laparoscopic surgery for gallstones. The next day, the patient complained of severe headache and visual disturbances. A magnetic resonance imaging of the skull (MRI) demonstrated a large pituitary tumor, with signs of recent hemorrhage and marked compression of the optic nerves. He underwent an urgent transsphenoidal endoscopic approach, which allowed complete resection of the tumor and consequent decompression of the optic nerves with great improvement of his symptoms. This article describes the case of a patient who presented pituitary apoplexy induced by laparoscopic cholecystectomy. Despite being a rare complication, pituitary apoplexy must be included in the differential diagnosis of patients with acute neurological symptoms, especially visual symptoms, and headache, leading to the correct diagnosis and assertive treatment.

Source: Interdisciplinary Neurosurgery

DOI: 10.1016/j.inat.2023.101724

Authors: Jose Carlos Rodrigues Junior, Vithor Ely Bortolin da Silva, Marina Rossi Ujvari, Luiz Alberto Aguillar Condori, Aldimar Batista de Sousa

Institutions: Hospital Heliópolis, Universidade de Santo Amaro

Language: English

Topic: Pituitary Gland Disorders and Treatments

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,000