Primary abscess of the sella turcica of odontogenic nature (observation from practice)

Abstract

Abscess of the sella turcica is an extremely rare disease of the chiasm and sellar region which often clinically and radiologically imitates other lesions in this area complicating the diagnosis.The article presents a clinical case of a 42‑year‑old female patient with primary abscess of the sella turcica which at first was considered to be pituitary adenoma. The patient underwent surgery through endoscopic transnasal access with good postoperative outcome. Additional postoperative examination revealed a possible source of hematogenic advancement of infectious process into the sella turcica cavity – pericoronitis of tooth 4.8. The article also presents review of publications on the topic.