Concomitant coexistence of ACTH-dependent and independent Cushing syndrome

Ach Taieb; Saad Ghada; Gorchène Asma; Ben Abdelkrim Asma; Kacem Maha; Ach Koussay

doi:10.1002/ccr3.5834

Concomitant coexistence of ACTH-dependent and independent Cushing syndrome

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

Authors

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

¹ Department of Endocrinology University Hospital of Farhat Hached Sousse Tunisia.
² Faculty of Medicine Ibn El Jazzar University of Sousse Sousse Tunisia.

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.

Publication types

Case Reports