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Concomitant coexistence of ACTH‐dependent and independent Cushing syndrome
Authors:Ach Taieb,Saad Ghada,Gorchè  ne Asma,Ben Abdelkrim Asma,Kacem Maha,Ach Koussay
Affiliation:1. Department of Endocrinology, University Hospital of Farhat Hached, Sousse Tunisia ; 2. Faculty of Medicine Ibn El Jazzar, University of Sousse, Sousse Tunisia
Abstract:We report a case of a patient who presented for ACTH‐dependent Cushing after a confirmed hypercortisolism and an inadequate normal ACTH. A transsphenoidal surgery of a pituitary picoadenoma has been done. After surgery, the patient showed the persistence of hypercortisolism. CT scan revealed adrenal adenomas removed surgically and improved the patient.
Keywords:adrenal adenomas   cortisol   Cushing disease   transsphenoidal surgery
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