A Case of Normal Vaginal Delivery in a Hyperprolactinemia Patient with Pituitary Macroadenoma.

Kim, Seung Chan; Yun, Young Eun; Park, Mi Sun; Kim, Hang Jin; Park, Ok Rang

Obstet Gynecol Sci > Volume 49(10); 2006 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(10):2184-2189.
Published online: October 1, 2006

A Case of Normal Vaginal Delivery in a Hyperprolactinemia Patient with Pituitary Macroadenoma.

Seung Chan Kim, Young Eun Yun, Mi Sun Park, Hang Jin Kim, Ok Rang Park

Department of Obstetrics and Gynecology, Daegu Fatima Hospital, Daegu, Korea. villoba@naver.com

Abstract

Prolactin-secreting adenomas are the most common pituitary tumors resulting in hyperprolactinemia which is one of the most important causes of female infertility with amenorrhea or galactorrhea. Although it is reported that spontaneous pregnancy occured in these patients using bromocriptine treatment or ovulation induction, it is very rare to find a pituitary tumor during a pregnancy by having neurological symptoms of headache, diplopia or visual disturbance. We experienced a case of normal delivery after symptom improvement and maintenance of pregnancy by administration of bromocriptine in a 27 year-old primigravida with diplopia and visual disturbance due to prolactin-secreting pituitary macroadenoma, which is diagnosed by brain MRI scan and serum prolactin level. A brief review of related literature was done.

Keywords: Pituitary macroadenoma; Hyperprolactinemia; Bromocriptine; Pregnancy; Fullterm delivery