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Adrenal and pituitary incidentalomas in a case of Cushing's syndrome.
[cushing syndrome]
Cushing
's
syndrome
is
a
pathological
condition
where
surgery
may
be
lifesaving
.
The
proper
diagnosis
depends
upon
the
hormonal
pattern
of
the
patient
,
various
dynamic
tests
and
imagistic
investigations
.
We
report
a
case
of
a
patient
with
Cushing
's
syndrome
,
with
bilateral
adrenal
tumors
and
a
pituitary
microadenoma
.
She
presented
increased
levels
of
basal
cortisol
,
unsuppressed
during
a
low
and
a
high
dose
Dexamethasone
test
.
She
underwent
right
laparoscopic
adrenalectomy
and
developed
acute
adrenal
insufficiency
.
Two
years
after
the
intervention
,
she
still
requires
adrenal
substitution
therapy
.
Acute
adrenal
crisis
is
a
serious
complication
of
adrenal
surgery
,
with
high
mortality
if
unrecognized
.
Diseases
Validation
Diseases presenting
"increased levels of basal cortisol"
symptom
cushing syndrome
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