Successful pregnancy after unilateral adrenalectomy in a case of primary pigmented adrenocortical disease.
We describe a case of successful pregnancy in a patient with primary pigmented nodular adrenocortical disease. Unilateral adrenalectomy was performed pre-conception as treatment for the patient's bilateral adrenal disease. She later delivered a healthy infant by cesarean section at week 38 of gestation. There was no evidence of either hyper- or hypo-cortisolism during the pregnancy. The unilateral laparoscopic adrenalectomy was successful in controlling her hypercortisolism during the ensuing pregnancy, and might provide a valid (albeit temporary) solution in similar situations.
Cohen
Ohad
O
Institute of Endocrinology, Chaim Sheba Medical Center, Tel Hashomer, Israel. ohdcohen@sheba.health.gov.il
Bogat
Shany
S
Dolitzki
Mordechai
M
Karasik
Avraham
A
D000303:Adrenal Cortex Diseases / Q000150:complications* / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D003480:Cushing Syndrome / Q000209:etiology* / Q000517:prevention & control*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D016742:Preconception Care; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control*; D011256:Pregnancy Outcome