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Oligohydramnios in a pregnant woman with Cushing's syndrome caused by an adrenocortical adenoma
Authors:Pieter C. M. De Groot  Inge L. Van Kamp  Evert J. K. Zweers  Cor D. De Kroon  Willem J. Van Wijngaarden
Affiliation:1. Department of Obstetrics and Gynaecology, Leiden University Medical Centre, Postbus 9600, 2300 RC, Leiden, The Netherlandspcmdegroot@yahoo.co.uk;3. Department of Obstetrics and Gynaecology, Leiden University Medical Centre, Postbus 9600, 2300 RC, Leiden, The Netherlands;4. Department of Internal Medicine, Ziekenhuis Bronovo, Bronovolaan 5, 2597 AX, The Hague, The Netherlands;5. Department of Obstetrics and Gynecology, Ziekenhuis Bronovo, Bronovolaan 5, 2597 AX, The Hague, The Netherlands
Abstract:A 28-year-old primigravida with severe oligohydramnios and pre-eclamptic symptoms was found to have Cushing's syndrome caused by an adrenocortical tumor. After meternal therapy the amniotic volume normalised, but the fetus succumbed. As clinical features of pre-eclampsia and Cushing's syndrome may overlap, diagnosis can be delayed or even missed.
Keywords:Cushing's syndrome  oligohydramnios  pregnancy  adrenocortical adenoma  hypertension
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