Retroperitoneal laparoscopic resection of adrenal tumor in pregnant woman with cushing’s syndrome

Abstract

Cushing’s syndrome (CS) during pregnancy is rare. It causes the clinical disorder by overproduction of cortisol. Hypercortisolemia in pregnancy can lead to severe complications, both for the mother and the fetus, including spontaneous abortion, perinatal death, prematurity, maternal hypertension, heart failure, diabetes and opportunistic infections. The most common cause of hypercortisolemia in pregnancy is a cortisol-secreting adrenal tumor. Herein we present a 31 year-old female patient, at 20 weeks’ gestation, with CS secondary to a left adrenal tumor. A brief review of reported similar cases is included.

摘要

妊娠合并柯兴氏综合征(CS)是一种罕见的疾病。它是由于皮质醇的生成过量生而导致临床疾病。妊娠期间的高皮质醇血症会导致孕妇和胎儿的严重并发症, 包括自然流产、围产儿死亡、早产、产妇高血压、心力衰竭、糖尿病和机会性感染。妊娠期的高皮质醇血症最常见的原因是分泌皮质醇的肾上腺肿瘤。在此, 我们报告一位怀孕20周的31岁女性患者, 患有继发于左肾上腺肿瘤的CS。并对类似病例的报道进行简要的综述。

The Chinese abstracts are translated by Prof. Dr. Xiangyan Ruan and her team: Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China.

Keywords:

• Cushing’s syndrome
• pregnant
• adrenal tumor

Disclosure statement

No potential conflict of interest was reported by the authors.