A report of recurring pregnancy-induced Cushing's syndrome

Abstract

Introduction: The incidence of pregnancy-induced Cushing's syndrome (CS) is very low. However, the diagnosis of CS in pregnant patients is very difficult because of an overlapping signs and symptoms.

Case report: Herein, a 20-year-old pregnant patient was reported that was afflicted by gestational CS during two pregnancies; termination of pregnancy was carried out in both cases. Bilateral adrenal hypertrophy was reported in magnetic resonance imaging. Following therapeutic abortion, signs of chemical evidence of CS was thoroughly regressed within a few months after each abortion without any treatment.

Conclusion: Due to the temporal relation between the occurrence of CS after each pregnancy the diagnosis of gestational hypercortisolism was made, and for further pregnancies bilateral adrenalectomy was recommended.

Keywords

• Cushing`s syndrome,pregnancy

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