Application of the proposed Sydney system of reporting lymphnode cytopathology: A retrospective study in a tertiary institute

Abstract

Author(s): Neethu.G.V, Veena.R, Priyanka Indoria, Seema Bijjaragi

Pituitary apoplexy is a significant complication of pituitary adenomas, posing diagnostic challenges, particularly when patients exhibit indications of meningeal irritation or electrolyte imbalances. When left undiagnosed and untreated, the outcomes can be dire. This condition frequently marks the initial clinical manifestation of most pituitary adenoma cases. Its pathophysiology is linked to pituitary enlargement, characterized by hemorrhage or ischemia. In the present case report, we describe a case of pituitary apoplexy that manifested subsequent to major abdominal surgery. The patient presented with symptoms, including headaches, hypertension, and visual impairment. Following a confirmed diagnosis through a CT scan, the patient underwent surgical decompression via a transsphenoidal approach. In conclusion, this case underscores the importance of a holistic approach that encompasses clinical vigilance, precise diagnostic evaluations, and timely interventions to address pituitary apoplexy. Through continued research and collaborative efforts, we endeavored to enhance our ability to recognize, diagnose, and manage pituitary apoplexy, ultimately contributing to improved patient care and outcomes.

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