title: Cushing's syndrome in pregnancy with a severe maternal complication: a case report.
abstract: Cushing's syndrome (CS) in pregnancy may be confused with a complication of pregnancy, such as pre-eclampsia or gestational diabetes. We managed a case of CS in pregnancy that was considered to be severe pre-eclampsia due to uncontrolled hypertension. The fetus was delivered via emergency cesarean section at 31 weeks' gestation because of severe pre-eclampsia and pulmonary edema. The parturient was admitted to the intensive care unit for severe maternal complications, including pulmonary hemorrhage, acute renal failure, disseminated intravascular coagulopathy, and congestive heart failure. A spine magnetic resonance image and 99m-technetium whole-body scan obtained postpartum showed multiple thoracolumbar spine compression fractures (Deleted; t-2,5,8,10,11, and -12; and L-1,2,3,4, and -5), multiple rib fractures, and a left iliac bone fracture due to osteoporosis. As a result of diagnosing CS after delivery, an adrenal cortical adenoma of the right adrenal gland was demonstrated and a laparoscopic adrenalectomy was successfully performed.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, Gyeongsang National University, Jinju, Korea. choiwj@gnu.ac.kr
authors.forename: Won Jun
authors.initials: WJ
authors.lastname: Choi
authors.forename: Tae Sik
authors.initials: TS
authors.lastname: Jung
authors.forename: Won Young
authors.initials: WY
authors.lastname: Paik
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D018246:Adrenocortical Adenoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D003480:Cushing Syndrome / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006470:Hemorrhage; D006801:Humans; D006973:Hypertension; D008171:Lung Diseases; D010024:Osteoporosis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome