Primary pituitary gland abscess in a 13-year-old girl. A clinical case description

Author:

Shkarubo Aleksey Nikolaevich1ORCID,Zokhidov Zokirzhon Utkurovich2ORCID,Livshits Matvey Igorevich3ORCID,Levov Aleksandr Vyacheslavovich4ORCID,Chmutin Egor Gennadievich5ORCID,Berdieva Madina Golibovna6ORCID,Chernov Ilya Valerievich1ORCID,Ashurov Dzhalolboy Asrorovich7ORCID,Kolcheva Mariya Andreevna8ORCID,Musa Gerald7ORCID,Berdinov Farkhad Bakhramdzhanovich5ORCID

Affiliation:

1. FSAI N. N. Burdenko National Medical Research Center of Neurosurgery of the Ministry of Health of the Russian Federation

2. Peoples’ Friendship University of Russia, Moscow

3. Pirogov Russian National Research Medical University,

4. State Budgetary Healthcare Institution Morozov Children’s Clinical Hospital of the Moscow Healthcare Department, Moscow, Russia

5. Medical Institute, Peoples’ Friendship University of Russia, Moscow

6. Medical Institute, Avicenna Tajik State Medical University, Dushanbe, Tajikistan

7. Medical Institute, Peoples’ Friendship University, Moscow

8. Peoples’ Friendship University of Russia, Medical Institute, Moscow

Abstract

A primary abscess in the region of the Sella turcica is a rare neurosurgical pathology especially in the pediatric population. This pathology has no specific symptoms and may have an atypical presentation. It has no specific radiological features making diagnosis very difficult. In this article, we report on a 13-year-old girl with a confirmed primary pituitary abscess. Clinical and instrumental investigations as well as hormonal profile indicated a lesion of the Rathkes pouch- like a craniopharyngioma and to a lesser extent, a pituitary adenoma. In this case, laboratory and Magnetic resonance studies did not show any features of systemic or local acute inflammatory response respectively. The child underwent a surgery, during which the diagnosis was made — primary abscess of the pituitary gland.

Publisher

PANORAMA Publishing House

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