Laparoscopic surgery-induced pituitary apoplexy
•We describe a very rare complication of a laparoscopic procedure, a pituitary apoplexy. Its recognition and prompt management lead to a great outcome for the patient.•In the literature there are just few reports and thats why our description is original and must be an alert for the specialists invo...
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| Published in: | Interdisciplinary neurosurgery : Advanced techniques and case management Vol. 32; p. 101724 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
Elsevier B.V
01-06-2023
Elsevier |
| Subjects: | |
| Online Access: | Get full text |
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| Summary: | •We describe a very rare complication of a laparoscopic procedure, a pituitary apoplexy. Its recognition and prompt management lead to a great outcome for the patient.•In the literature there are just few reports and thats why our description is original and must be an alert for the specialists involved in the care of patients submitted to the laparoscopic procedures and for the neurosurgeons to be able to identify this complication.
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. |
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| ISSN: | 2214-7519 2214-7519 |
| DOI: | 10.1016/j.inat.2023.101724 |