Thyroid-stimulating hormone (TSH) secreting pituitary adenoma is a rar
e but important cause of thyrotoxicosis. It poses a challenge for both
diagnosis and management. We report the case of a young Chinese man p
resenting with thyrotoxicosis, complicated by congestive heart failure
, secondary to a TSH secreting pituitary adenoma. The case illustrates
the importance of prompt diagnosis and allows discussion of both medi
cal and surgical management, including the use of a long-acting somato
statin analogue.