Nonsurgical Management of a Patient with Hypopituitarism Secondary to Nonfunctioning Pituitary Macroadenoma: A Case Report

Authors

  • Martino Handoyo
  • Hermina Novida

DOI:

https://doi.org/10.37506/ijfmt.v15i4.16960

Keywords:

pituitary adenoma, macroadenoma, clinically nonfunctioning, hypopituitarism

Abstract

Pituitary adenoma is a benign neoplasm of pituitary gland. Pituitary adenoma, particularly a macroadenoma,
may produce mass effect symptoms by compressing surrounding tissues. Due to pituitary function as a
neuroendocrine organ, pituitary adenoma may also cause multiple endocrine disturbances. The authors report
the case of a 39-year-old male patient presenting with chronic headache and history of seizure. MRI imaging
revealed pituitary macroadenoma with optic chiasm compression. Further diagnostic workup indicated
secondary hypogonadism and adrenal insufficiency. The patient was given hormone replacement therapy
and was then advised for surgery, but the patient refused any surgical procedure. Subsequent follow-ups
were somewhat difficult due to poor patient adherence. Nevertheless, appropriate management of pituitary
adenoma is needed to achieve optimal result.

Author Biographies

Martino Handoyo

Resident in Department of Internal Medicine, Faculty of Medicine, Airlangga University, Dr. Soetomo General
Hospital, Surabaya, Indonesia

Hermina Novida

Lecturer and Consultant in Divison of Endocrinology, Metabolic, and Diabetes,Department of Internal Medicine, Faculty of Medicine, Airlangga University, Dr. Soetomo General Hospital,Surabaya, Indonesia

Published

2021-08-16

How to Cite

Martino Handoyo, & Hermina Novida. (2021). Nonsurgical Management of a Patient with Hypopituitarism Secondary to Nonfunctioning Pituitary Macroadenoma: A Case Report. Indian Journal of Forensic Medicine & Toxicology, 15(4), 1777-1782. https://doi.org/10.37506/ijfmt.v15i4.16960