Cushing's syndrome in pregnancy secondary to adrenal adenoma. A case report and literature review.
We describe a case of Cushing's syndrome complicating pregnancy presented with acute heart failure, hypertension and glucose intolerance. A left adrenal adenoma was removed at 24 weeks of gestation. The pregnancy was ended with an emergency lower-segment Caesarean section at 31 weeks of gestation because of severe pre-eclampsia and HELLP syndrome. The case is reported not only because of its rarity but also to induce the discussion of surgical treatment during pregnancy.
Lo
K W
KW
Department of Obstetrics and Gynaecology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin. wklo@cuhk.edu.hk
Lau
T K
TK
D000236:Adenoma / Q000150:complications*; D000310:Adrenal Gland Neoplasms / Q000150:complications*; D000328:Adult; D002585:Cesarean Section; D003480:Cushing Syndrome / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005865:Gestational Age; D018149:Glucose Intolerance; D017359:HELLP Syndrome / Q000150:complications; D006331:Heart Diseases; D006801:Humans; D006973:Hypertension; D008279:Magnetic Resonance Imaging; D011225:Pre-Eclampsia / Q000150:complications; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic