Successful endoscopic endonasal trans‐sphenoidal resection for pituitary macro adenoma with apoplexy in a twin pregnancy: A case report

TL;DR

A pregnant woman with a pituitary tumor and apoplexy successfully underwent surgery, improving her vision without complications.

Contribution

This case demonstrates the feasibility of endoscopic surgery for pituitary apoplexy during twin pregnancy.

Findings

Endoscopic resection successfully improved vision in a pregnant patient with pituitary apoplexy.

Contrast MRI was crucial for accurate diagnosis in this case.

The patient experienced an uneventful postoperative recovery.

Abstract

Pituitary apoplexy is a medical and surgical emergency requiring prompt diagnosis and often urgent treatment to manage symptoms and prevent further complications.

This report describes the successful management of a 37‐year‐old pregnant woman with a history of pituitary macroadenoma and apoplexy during a twin pregnancy. Presenting with bitemporal vision loss, a common pituitary adenoma symptom, she showed no other alarming signs despite a twin pregnancy. Successful endoscopic resection improved her vision, and postoperative recovery was uneventful. The discussion underscores significance of the diagnostic utility of contrast MRI. The patient's favorable outcome supports endoscopic resection feasibility in pregnant individuals with pituitary apoplexy.