Asian Journal of Surgery (Apr 2007)

Laparoscopic Partial Adrenalectomy for Bilateral Cortisol-secreting Adenomas

  • Jeffrey P. Domino,
  • Davide Lomanto,
  • Avinash N. Katara,
  • Abu Rauff,
  • Wei-Keat Cheah

DOI
https://doi.org/10.1016/S1015-9584(09)60152-4
Journal volume & issue
Vol. 30, no. 2
pp. 154 – 157

Abstract

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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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