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This case highlights the delayed diagnosis of acromegaly and the complications arising from unrecognized comorbidities.

July 31, 2026CureusOpen Access

Acromegaly Discovered After Head Trauma: Multivessel Coronary Disease and Postoperative Meningitis Complicating a Pituitary Macroadenoma

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Case report uncovers acromegaly post-head trauma, highlighting cardiovascular complications and infections.

This case highlights the delayed diagnosis of acromegaly and the complications arising from unrecognized comorbidities.
Case report of a 59-year-old man with acromegaly diagnosed after a bike accident
MRI revealed a pituitary macroadenoma leading to further testing and cardiac evaluation
Patient underwent endoscopic transsphenoidal resection after management of coronary artery disease
Biochemical tests confirmed acromegaly with IGF-1 at 752 ng/mL and GH at 10.9 ng/mL
Postoperative imaging showed no residual tumor and IGF-1 normalized by three months
Complications included bacterial sinusitis and meningitis treated successfully with antibiotics

Rockwell et al. (2026) studied this question.

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