Laparoscopic treatment of Cushing’s syndrome in a woman in late pregnancy – a case presentation
| Autor: | Witold Cieśla, Sadegh Toutounchi, Aleksandra Bartnik, Maciej Skórski, Ryszard Pogorzelski, Mirosław Wielgoś, Anna M Makowska, Ewa Krajewska, Patryk Fiszer, Ewa Bar-Andziak |
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| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Urology lcsh:Medicine Case Report Cushing’s syndrome during pregnancy medicine Adrenocortical carcinoma Contraindication Hydrocortisone Fetus Pregnancy Laparoscopic adrenalectomy Adrenal gland business.industry lcsh:R Gastroenterology Obstetrics and Gynecology medicine.disease Surgery medicine.anatomical_structure Cushing's syndrome during pregnancy Gestation pregnancy business laparoscopic adrenalectomy adrenal tumour medicine.drug |
| Zdroj: | Videosurgery and Other Miniinvasive Techniques, Vol 6, Iss 4, Pp 261-263 (2011) Videosurgery and other Miniinvasive Techniques |
| ISSN: | 1895-4588 |
| Popis: | Hypercortisolaemia during pregnancy constitutes a serious threat to life of the mother and fetus and may be associated with adrenocortical carcinoma. The objective of this study is to present the usefulness of laparoscopic procedures in treating adrenal tumours in such cases. One 21-year-old woman, 24 weeks pregnant, with hypertension and Cushing's syndrome due to a left adrenal tumour, underwent laparoscopic adrenalectomy followed by hydrocortisone replacement. Spontaneous delivery occurred at the 37/38(th) week of gestation. At 3 months postpartum the function of the remaining adrenal gland was found to be normal. Similarly, imaging tests, abdominal CT scan and chest X-ray revealed no abnormalities. Pregnancy is not a contraindication for performing complicated laparoscopic procedures unless they are planned in advance and done by an experienced team. |
| Databáze: | OpenAIRE |
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