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Published on: September 15, 2017
Laparoscopic partial adrenalectomy for bilateral cortisol-secreting adenomas
Jeffrey P Domino1, Siok Bee Chionh, Davide Lomanto
1Endocrine Surgery Service, Department of Surgery, National University Hospital, Singapore.
Abstract:
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.
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