Journal of Clinical Case Reports

Empty Sella Syndrome and Nonpuerperal Galactorrhea: A Case Report

Abstract

Roxanne Singh* and Praniel Bennimahadeo

Galactorrhea secondary to hyperprolactinemia is usually associated with a pathological or drug induced cause. We describe a 39 year old female patient who presented with a history of galactorrhea and no other specific symptoms. She had been on oral contraception for 15 years after the birth of her first child and had developed the milky nipple discharge three years prior to presentation. She had initially been managed as hyperprolactinemia secondary to long term contraceptive use but was referred for further investigation as she had no resolution to the galactorrhea after cessation of the drug for a significant period. Her blood investigations revealed an isolated persistently elevated serum prolactin and the diagnosis of an empty sella was made on radiological imaging.