Obstet Gynecol Sci.  2013 Nov;56(6):400-403. 10.5468/ogs.2013.56.6.400.

Cushing syndrome in pregnancy secondary to adrenal adenoma

• Chang I
• Cha HH
• Kim JH
• Choi SJ
• Oh SY
• Roh CR

• KMID: 1500374
• DOI: http://doi.org/10.5468/ogs.2013.56.6.400

Abstract

We report a case of Cushing syndrome secondary to adrenal adenoma presenting with hypertension and oligohydramnios during pregnancy. The tumor was confirmed by magnetic resonance imaging at 28 week 3 day weeks of pregnancy and was removed surgically at 29 week 1 day weeks of gestation. After surgery, hypertension subsided and amniotic fluid volume returned to normal range. The gravid woman subsequently delivered a healthy infant at term.

Keyword

Adrenocortical adenoma; Adrenalectomy; Cushing syndrome; Oligohydramnios; Pregnancy

MeSH Terms

Adenoma
Adrenalectomy
Adrenocortical Adenoma*
Amniotic Fluid
Cushing Syndrome*
Female
Humans
Hypertension
Magnetic Resonance Imaging
Oligohydramnios
Pregnancy*
Reference Values

Figure

• 

  Fig. 1 Abdominal magnetic resonance image depicted a 2.5 × 2.0 × 2.5 cm adenoma in right adrenal gland. It was conclusively identified as an adrenocortical adenoma after a adrenalectomy.

• 

  Fig. 2 Pathological examination after adrenalectomy. (A) Microscopic. (B) Gross (H&E, ×40).

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