Document Detail


Cushing's syndrome in pregnancy with a severe maternal complication: a case report.
MedLine Citation:
PMID:  21159041     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Won Jun Choi; Tae Sik Jung; Won Young Paik
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-12-15
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  37     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-31     Completed Date:  2011-08-01     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  163-7     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Journal of Obstetrics and Gynaecology Research © 2010 Japan Society of Obstetrics and Gynecology.
Affiliation:
Department of Obstetrics and Gynecology, School of Medicine, Gyeongsang National University, Jinju, Korea. choiwj@gnu.ac.kr
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MeSH Terms
Descriptor/Qualifier:
Adrenal Cortex Neoplasms / complications*,  diagnosis,  surgery
Adrenocortical Adenoma / complications*,  diagnosis,  surgery
Adult
Cushing Syndrome / diagnosis*,  etiology*,  physiopathology,  surgery
Diagnosis, Differential
Female
Hemorrhage
Humans
Hypertension
Lung Diseases
Osteoporosis
Pregnancy
Pregnancy Complications / diagnosis*,  etiology*,  physiopathology,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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