The Japanese Journal of Urology
Online ISSN : 1884-7110
Print ISSN : 0021-5287
ISSN-L : 0021-5287
Case Reports
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
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Keywords: Cushing disease, transsphenoidal surgery, bilateral adrenalectomy
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2018 Volume 109 Issue 3 Pages 164-168

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Abstract

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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