title: Adrenocorticotropic hormone-producing pheochromocytoma: a case report and review of the literature.
abstract: Ectopic Cushing’s syndrome caused by pheochromocytoma is rare. We reported a 15-year-old female patient who was admitted to hospital with typical Cushing’s syndrome. She had not started menstruation. Her plasma adrenocorticotropic hormone (ACTH) and 24-hour urinary free cortisol levels were extremely high. Gonadal and progestational hormone levels were also abnormal. Abdominal computed tomography scans and enhanced scans revealed multiple irregular tumors in the right adrenal. Pelvic echogram showed an infantile uterus, while the ovaries were at an immature stage of development. Retroperitoneal laparoscopic right adrenalectomy was performed without intraoperative complications. Histology and immunohistochemistry of the tumor were consistent with pheochromocytoma. Retroperitoneal laparoscopic adrenalectomy is a safe procedure with satisfactory outcomes and allows for rapid recovery.
authors.affiliation: Department of Urologic Surgery, Affiliated Changzheng Hospital of the Second Military Medical University, Shanghai 200003, China.
authors.forename: Xun-gang
authors.initials: XG
authors.lastname: Li
authors.forename: Dong-xu
authors.initials: DX
authors.lastname: Zhang
authors.forename: Xiang
authors.initials: X
authors.lastname: Li
authors.forename: Xin-gang
authors.initials: XG
authors.lastname: Cui
authors.forename: Dan-feng
authors.initials: DF
authors.lastname: Xu
authors.forename: Yao
authors.initials: Y
authors.lastname: Li
authors.forename: Yi
authors.initials: Y
authors.lastname: Gao
authors.forename: Lei
authors.initials: L
authors.lastname: Yin
authors.forename: Ji-zhong
authors.initials: JZ
authors.lastname: Ren
mesh_terms: D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000378:metabolism / Q000628:therapy; D000324:Adrenocorticotropic Hormone / Q000378:metabolism*; D005260:Female; D006801:Humans; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000378:metabolism / Q000628:therapy
chemical_list: D000324:Adrenocorticotropic Hormone