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Case Reports in Obstetrics and Gynecology
Volume 2013, Article ID 817603, 4 pages
http://dx.doi.org/10.1155/2013/817603
Case Report

Successful Pregnancy in a Female with a Large Prolactinoma after Pituitary Tumor Apoplexy

1Department of Medicine, School of Medicine and Health Sciences, Sana’a University, P.O Box 12268, Sana’a, Yemen
2Department of Radiology, University of Science and Technology Hospital, P.O. Box 13061, Sana’a, Yemen

Received 28 June 2013; Accepted 29 August 2013

Academic Editors: M. F. Diejomaoh, C. Ficicioglu, and C. S. Hsu

Copyright © 2013 Butheinah A. Al-Sharafi and Omar H. Nassar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pituitary apoplexy is a rare condition which may cause death of the patient in severe cases and many times leads to hypopituitarism. We report a case of apoplexy in a large prolactinoma resulting in empty sella syndrome followed by a successful pregnancy. Our patient is a 32-year-old female with a history of a macroprolactinoma for approximately 17 years who presented to our hospital with a history of severe headache, decreased level of consciousness, fever, nausea, vomiting, and diplopia of 12 hours duration. Magnetic resonance imaging done on admission showed an increase in the size of the pituitary adenoma with a subtle hemorrhage. The patient was admitted to the intensive care unit and treated conservatively. The condition of the patient improved within a few days. A few months later, she started having regular menstrual periods. A magnetic resonance imaging of the pituitary 1.5 years later was reported as empty sella syndrome, and approximately one year later she became pregnant. With the pituitary adenoma being resolved after developing pituitary apoplexy and continuing on cabergoline, the patient had a successful pregnancy with no recurrence of the adenoma after delivery and breastfeeding.