Fig. 1.

Images of case A MRI brain showing giant pituitary adenoma (thick white arrow) measuring 4.5 × 4.0x2.0 cm, with suprasellar and right parasellar extension and encasement of right cavernous internal carotid artery taken at 14 weeks 4 days gestation B Giant pituitary macroadenoma with apoplexy (thin white arrow), during the same sitting as in A C Endoscopic cytoreductive surgery showing superior turbinate (dotted white arrow) in nasal cavity during transnasal endoscopic approach, opened sellar floor (thick solid white arrow) for decompression of pituitary macroadenoma through endonasal trans-sphenoidal approach and the endoscope (dashed white arrow) D Premature female fetus delivered spontaneously at 24 weeks with early neonatal death