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Case Reports
. 2022 May 9;10(5):e05834.
doi: 10.1002/ccr3.5834. eCollection 2022 May.

Concomitant coexistence of ACTH-dependent and independent Cushing syndrome

Ach Taieb  1   2 , Saad Ghada  1   2 , Gorchène Asma  1   2 , Ben Abdelkrim Asma  1   2 , Kacem Maha  1   2 , Ach Koussay  1   2
Affiliations
Case Reports

Concomitant coexistence of ACTH-dependent and independent Cushing syndrome

Ach Taieb et al. Clin Case Rep. .

Abstract

We report a case of a patient who presented for ACTH-dependent Cushing after a confirmed hypercortisolism and an inadequate normal ACTH. A transsphenoidal surgery of a pituitary picoadenoma has been done. After surgery, the patient showed the persistence of hypercortisolism. CT scan revealed adrenal adenomas removed surgically and improved the patient.

Keywords: Cushing disease; adrenal adenomas; cortisol; transsphenoidal surgery.

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Conflict of interest statement

The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.

Figures

FIGURE 1
FIGURE 1
Pituitary MRI with gadolinium contrast, coronal T1‐weighted image showing a 3‐mm picoadenoma on the left side of the pituitary.
FIGURE 2
FIGURE 2
(A, B) CT scan of the abdomen demonstrating two adenomas in the left and right adrenal glands, measuring 30 × 17 mm and 15 × 9 mm, respectively.
See this image and copyright information in PMC

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