Laparoscopic Bilateral Adrenalectomy in a Patient of Cushing Disease due to Pituitary Microadenoma: a Challenge for the Anaesthesiologist View PDF
*Sandeep Kumar Kar
Department Of Cardiac Anesthesiology, Institute Of Post Graduate Medical Education & Research, Kolkata, India
*Corresponding Author: Sandeep Kumar Kar
Department Of Cardiac Anesthesiology, Institute Of Post Graduate Medical Education & Research, Kolkata, India
Email:sndpkar@yahoo.co.in
Published on: 2015-05-23
Abstract
Cushing’s syndrome has a multi-factorial aetiology. Administration of exogenous steroids in oral formulations, injected or inhaled forms can cause development of Cushing’s syndrome. Endogenous causes may be ACTH dependent (80% of the cases) or independent (20% of the cases). ACTH overproduction may be of pituitary origin (85% cases) or result from ectopic tumor secretion (15% cases). The term Cushing’s disease is specifically applied to ACTH-secreting pituitary tumors. ACTH independent causes are mainly due to benign (60%) or malignant (40%) adrenal tumors. Several studies have shown the association of Cushing’s Syndrome with pheochromocytoma
Keywords
Laparoscopic; Cushing disease; Pituitary microadenoma
Introduction
Cushing’s syndrome has a multi-factorial aetiology. Administration of exogenous steroids in oral formulations, injected or inhaled forms can cause development of Cushing’s syndrome. Endogenous causes may be ACTH dependent (80% of the cases) or independent (20% of the cases). ACTH overproduction may be of pituitary origin (85% cases) or result from ectopic tumor secretion (15% cases).
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