Cushing's syndrome caused by adenomyelolipoma. A case report

Authors

  • Idania Teresa Mora López Especialista de Primer Grado en Medicina General Integral y Endocrinología. Máster en Longevidad Satisfactoria. Profesora Auxiliar. Hospital General Docente "Enrique Cabrera". Ciudad Habana.
  • Maria de la Caridad Casanova Moreno Especialista de Segundo Grado en Medicina General Integral. Máster en Longevidad Satisfactoria. Investigador Agregado. Profesora Auxiliar. Centro Provincial de Higiene Epidemiología y Microbiología de Pinar del Río.
  • Lino Aboy Capote Especialista de Primer Grado en Medicina Interna. Asistente. Hospital General Docente "Enrique Cabrera". Ciudad de la Habana.
  • Pedro Rolando López Rodríguez Especialista de Segundo Grado en Cirugía General. Profesor Auxiliar. Hospital General Docente "Enrique Cabrera". Ciudad de la Habana.
  • Jesús Valentín Ruíz Cabrera Especialista de Primer Grado en Cirugía General. Hospital General Docente "Enrique Cabrera". Ciudad de la Habana.

Keywords:

Cushing´s Syndrome (CS)/diagnosis, Adrenal gland tumors, Adenomyelolipoma.

Abstract

A 61-year old female patient with a history of right back pain with radiation to the right-lower limb, that did not relieve at rest or with the use analgesics of moderate intensity, having a 3-month evolution, presenting hypertension and diabetes mellitus onset, together with an increase in body weight mainly in her face, thorax and abdomen, which contrasted to the thinness of her extremities was admitted. The necessary clinical complementaries indicated high levels of blood glucose compatible with diabetes mellitus and the sonographic studies showed an adrenal mass in contact with the liver in the upper right hemi-abdomen, simple and contrasted CT of the adrenal glands confirmed the sonographic results, the circadian rhythm was driven to the cortisol control, resulting in not preserved. No inhibitions were observed with 2 mgs and 8mgs of dexamethasone. Cushing's syndrome was confirmed. Right adrenalectomy and freeze-biopsy were performed reporting an adenomyelolipoma of 7 cms x 6 cms of the right adrenal gland.

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References

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Published

2012-05-04

How to Cite

1.
Mora López IT, Casanova Moreno M de la C, Aboy Capote L, López Rodríguez PR, Ruíz Cabrera JV. Cushing’s syndrome caused by adenomyelolipoma. A case report. Rev Ciencias Médicas [Internet]. 2012 May 4 [cited 2025 Aug. 30];16(2):280-6. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/911

Issue

Vol. 16 No. 2 (2012)

Section

CASE REPORTS

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