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Cushing's syndrome in pregnancy with a severe maternal complication: A case report
Author(s) -
Choi Won Jun,
Jung Tae Sik,
Paik Won Young
Publication year - 2011
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2010.01339.x
Subject(s) - medicine , pregnancy , complication , eclampsia , coagulopathy , surgery , pulmonary edema , gestation , gestational diabetes , obstetrics , lung , genetics , biology
Cushing's syndrome (CS) in pregnancy may be confused with a complication of pregnancy, such as pre‐eclampsia or gestational diabetes. We managed a case of CS in pregnancy that was considered to be severe pre‐eclampsia due to uncontrolled hypertension. The fetus was delivered via emergency cesarean section at 31 weeks' gestation because of severe pre‐eclampsia and pulmonary edema. The parturient was admitted to the intensive care unit for severe maternal complications, including pulmonary hemorrhage, acute renal failure, disseminated intravascular coagulopathy, and congestive heart failure. A spine magnetic resonance image and 99m‐technetium whole‐body scan obtained postpartum showed multiple thoracolumbar spine compression fractures (Deleted; t‐2,5,8,10,11, and ‐12; and L‐1,2,3,4, and ‐5), multiple rib fractures, and a left iliac bone fracture due to osteoporosis. As a result of diagnosing CS after delivery, an adrenal cortical adenoma of the right adrenal gland was demonstrated and a laparoscopic adrenalectomy was successfully performed.