The case described here is of particular interest for three reasons. First, suppuration within the sella turcica itself is an uncommon phenomenon, and suppuration within the substance of a pituitary adenoma must be extremely rare; I can find no reference to pyogenic abscess formation in a pituitary adenoma in an extensive search of the literature over the past 20 years. Secondly, in this case n...

There are three main causes, often combined, of chronic osteomyelitis due to gunshot wounds. These are retained dead matter, cavities and osteitis and are often combined. If these causes are removed the infection subsides and healing can occur. The indication for operation is clinical--persistent suppuration--and not the X-ray appearances. The nature and extent of the operation can only be dete...