Massive Hemorrhage in the Transsphenoidal Approach of the Pituitary Gland

Authors

  • Carolina Rodrigues Interna de Formação Específica de Anestesiologia, Serviço de Anestesiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
  • Helena Vieira Assistente Hospitalar Graduada de Anestesiologia, Serviço de Anestesiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.
  • Marta Azenha Assistente Hospitalar de Anestesiologia, Serviço de Anestesiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

DOI:

https://doi.org/10.25751/rspa.13908

Keywords:

Anesthesia, Cerebral Hemorrhage, Pituitary Neoplasms

Abstract

Introduction: Pituitary tumors are the most common intracranial tumors. Given the complex anatomy of the region, transsphenoidal surgery has a substantial risk of complications.

Case Report: Woman proposed for excision of pituitary adenoma by transsphenoidal route. During the surgery, sudden hypotension occurred due to arterial hemorrhage, with 1500 mL of blood collected in the aspirator. The massive bleeding protocol was immediately activated and the hemorrhage was rapidly controlled. At 48 hours postoperatively, computed tomography showed extensive ischemic infarction of the territory of the left posterior cerebral artery with brainstem and mesencephalon involvement.

Conclusion: The transsphenoidal plan of the pituitary tumor, although less invasive and promising, may also be associated with severe complications.

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Published

2018-07-18

How to Cite

Rodrigues, C., Vieira, H., & Azenha, M. (2018). Massive Hemorrhage in the Transsphenoidal Approach of the Pituitary Gland. Journal of the Portuguese Society of Anesthesiology, 27(2), 33–36. https://doi.org/10.25751/rspa.13908

Issue

Vol. 27 No. 2 (2018)

Section

Case Report

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