Laparoscopic treatment of Cushing's syndrome in a woman in late pregnancy - a case presentation

被引：9

作者：

Toutounchi, Sadegh ^{[1
]}

Makowska, Anna ^{[2
]}

Krajewska, Ewa ^{[1
]}

Fiszer, Patryk ^{[1
]}

Ciesla, Witold ^{[1
]}

Pogorzelski, Ryszard ^{[1
]}

Bartnik, Aleksandra ^{[1
]}

Wielgos, Miroslaw ^{[3
]}

Bar-Andziak, Ewa ^{[2
]}

Skorski, Maciej ^{[1
]}

机构：

[1] Med Univ Warsaw, Dept Gen & Thorac Surg, PL-02097 Warsaw, Poland

[2] Med Univ Warsaw, Dept Internal Dis & Endocrinol, PL-02097 Warsaw, Poland

[3] Med Univ Warsaw, Dept Obstet & Gynaecol, PL-02097 Warsaw, Poland

来源：

VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES | 2011年 / 6卷 / 04期

关键词：

Cushing's syndrome during pregnancy; laparoscopic adrenalectomy; adrenal tumour; pregnancy; ADRENALECTOMY;

D O I：

10.5114/wiitm.2011.26263

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：261 / 263

页数：3

共 9 条

[1]

Beucher MA, 1992, OBSTET GYNECOL, V79, P130

[2] Successful pregnancy after unilateral adrenalectomy in a case of primary pigmented adrenocortical disease [J].