Staged Bilateral Laparoscopic Adrenalectomy for Infantile ACTH-independent Cushing’ s Syndrome (Bilateral Micronodular Non-pigmented Adrenal Hyperplasia): A Case Report

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SIMFOROOSH NASSER; RAZZAGHY AZAR MARYAM; SOLTANI MOHAMMAD HOSSEIN; Nourbakhsh Mona; SHEMSHAKI HAMIDREZA

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Journal Paper

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Journal: UROLOGY JOURNAL Year:2017 | Volume:14 | Issue:5 Page(s): 5030-5033

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Title

Staged Bilateral Laparoscopic Adrenalectomy for Infantile ACTH-independent Cushing’ s Syndrome (Bilateral Micronodular Non-pigmented Adrenal Hyperplasia): A Case Report

Author(s)

Keywords

Cushing’

s syndrome

laparoscopic adrenalectomy

infant

Abstract

ACTH-independent Cushing’; s syndrome is an uncommon disorder in children. While laparoscopic adrenalectomy is well-established in adults, it is rarely used in infants and is associated with some concerns. A seven-month infant was referred to our hospital due to progressive signs and symptoms of Cushing’; s syndrome. Laboratory data confirmed ACTH-independent hypercortisolism. No history of exogenous corticosteroid contact was observed. The patient underwent left transperitoneal laparoscopic adrenalectomy when she was 7 months old, nevertheless, complete response was not seen. The patient underwent right laparoscopic adrenalectomy (contra-lateral adrenal gland) when she was 20 months old. The signs and symptoms of Cushing’; s syndrome began to resolve and serum and urine cortisol levels became normal 3 months after the second surgery. laparoscopic adrenalectomy is safe and feasible in infants, and in this case, relieved patient of the symptoms and saved her life.

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APA: Copy

SIMFOROOSH, NASSER, RAZZAGHY AZAR, MARYAM, SOLTANI, MOHAMMAD HOSSEIN, Nourbakhsh, Mona, & SHEMSHAKI, HAMIDREZA. (2017). Staged Bilateral Laparoscopic Adrenalectomy for Infantile ACTH-independent Cushing’ s Syndrome (Bilateral Micronodular Non-pigmented Adrenal Hyperplasia): A Case Report. UROLOGY JOURNAL, 14(5), 5030-5033. SID. https://sid.ir/paper/271331/en

Vancouver: Copy

SIMFOROOSH NASSER, RAZZAGHY AZAR MARYAM, SOLTANI MOHAMMAD HOSSEIN, Nourbakhsh Mona, SHEMSHAKI HAMIDREZA. Staged Bilateral Laparoscopic Adrenalectomy for Infantile ACTH-independent Cushing’ s Syndrome (Bilateral Micronodular Non-pigmented Adrenal Hyperplasia): A Case Report. UROLOGY JOURNAL[Internet]. 2017;14(5):5030-5033. Available from: https://sid.ir/paper/271331/en

IEEE: Copy

NASSER SIMFOROOSH, MARYAM RAZZAGHY AZAR, MOHAMMAD HOSSEIN SOLTANI, Mona Nourbakhsh, and HAMIDREZA SHEMSHAKI, “Staged Bilateral Laparoscopic Adrenalectomy for Infantile ACTH-independent Cushing’ s Syndrome (Bilateral Micronodular Non-pigmented Adrenal Hyperplasia): A Case Report,” UROLOGY JOURNAL, vol. 14, no. 5, pp. 5030–5033, 2017, [Online]. Available: https://sid.ir/paper/271331/en

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