LAPAROSCOPIC BILATERAL ADRENALECTOMY FOR REFRACTORY CUSHING DISEASE: A CASE REPORT

Yohei Yamanaka,Atsunari Kawashima,Yujiro Hayashi,Takeshi Ujike,Toyofumi Abe,Akira Nagahara,Shinichiro Fukuhara,Kazutoshi Fujita,Motohide Uemura,Hiroshi Kiuchi,Ryoichi Imamura,Tetsuhiro Kitamura,Michio Otsuki,Norio Nonomura

Nihon Hinyoukika Gakkai zasshi/Nippon Hinyokika Gakkai Zasshi（2018）

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摘要

A 64-year-old man was diagnosed as having Cushing's disease due to multiple lumbar compression fracture in 2009. Although various treatments including three times transsphenoidal surgery and twice radiotherapy were performed, his serum cortisol level rose again and intractable cutaneous ulcer occurred. Just after discontinuation of medication to treat the progression due of severe hepatic dysfunction, deep vein thrombosis and pulmonary artery embolism occurred. To control the Cushing's disease, laparoscopic bilateral adrenalectomy was performed.

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