Laparoscopic partial adrenalectomy for bilateral cortisol-secreting adenomas.
Bilateral cortisol-secreting adenomas are a rare cause of Cushing's syndrome. We report a case of a 35-year-old woman who presented with ACTH-independent Cushing's syndrome and bilateral adrenal adenomas. Adrenal venous sampling confirmed both adenomas to be hyper-secreting cortisol. She underwent bilateral laparoscopic adrenalectomy; total right and partial left adrenalectomies. At 2-year follow-up, she is maintained on low-dose fludrocortisone and hydrocortisone, and without recurrence of hypercorticolism. Laparoscopic partial adrenalectomy is a feasible option for this rare condition; however, long-term follow-up is needed to determine her total independence from steroid usage.
Domino
Jeffrey P
JP
Endocrine Surgery Service, Department of Surgery, National University Hospital, Singapore.
Chionh
Siok Bee
SB
Lomanto
Davide
D
Katara
Avinash N
AN
Rauff
Abu
A
Cheah
Wei-Keat
WK
D049913:ACTH-Secreting Pituitary Adenoma / Q000378:metabolism / Q000601:surgery*; D000310:Adrenal Gland Neoplasms / Q000378:metabolism / Q000601:surgery*; D000315:Adrenalectomy; D000328:Adult; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000378:metabolism; D010535:Laparoscopy
D006854:Hydrocortisone