We experienced a case of aldosterone and cortisol secreting adrenal adenoma associated with pregnancy in a 23 year old female patient.
The patient complained of sever thoraco-lumbar pain, weight gain, sweating, anxiety, and mild abdominal discomfort. On physical findings, hypertension, tachycardia, facial plethora, moon face, buffalo hump and truncal obesity were found.
Laboratory findings showed hypernatremia and hypokalemia. Endocrine tests included decreased renin and p-ACTH, increased aldosterone, cortisol and 24 hr urine free cortisol, an not suppressed Dexamethasone supression test. Abdominal CT scan
demonstrated
4×3.5×3cm sized, well encapsulated mass, not associated with central necrosis or metastasis.
Unilateral total adrenalectomy was performed and confirmed to benign adrenal adenoma (J Kor Soc Endocrinol 9: 39~45, 1994)
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