Unilateral laparoscopic adrenalectomy may provide a valid temporary solution for controlling hypercortisolism during pregnancy in patients with primary pigmented nodular adrenocortical disease.
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May support unilateral laparoscopic adrenalectomy for temporary hypercortisolism control in pregnant PP NAD patients; leaves open need for prospective data.
We describe a case of successful pregnancy in a patient with primary pigmented nodular adrenocortical disease. Unilateral adrenalectomy was performed pre-conception as treatment for the patient's bilateral adrenal disease. She later delivered a healthy infant by cesarean section at week 38 of gestation. There was no evidence of either hyper- or hypo-cortisolism during the pregnancy. The unilateral laparoscopic adrenalectomy was successful in controlling her hypercortisolism during the ensuing pregnancy, and might provide a valid (albeit temporary) solution in similar situations.
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Cohen et al. (2005) studied this question.
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