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Geetanjali Kale, Elaine M Pelley and Dawn Belt Davis

glucocorticoids in CAH is challenging, and the consequences of prolonged glucocorticoid excess can be significant, including weight gain, metabolic disturbances, and bone loss. Studies on bilateral adrenalectomy as an alternate treatment option in CAH are limited

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Kohei Saitoh, Takako Yonemoto, Takeshi Usui, Kazuhiro Takekoshi, Makoto Suzuki, Yoshiharu Nakashima, Koji Yoshimura, Rieko Kosugi, Tatsuo Ogawa and Tatsuhide Inoue

physical findings. His father underwent a unilateral adrenalectomy due to PCC at the age of 65, and was being evaluated for residual or contralateral adrenal PCC. Investigation Laboratory tests revealed an adrenaline-dominant increase in the plasma

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Hiroaki Iwasaki

-ray examinations. The patient underwent these examinations every year but took no further medical treatment before adrenalectomy. She also noticed a menstrual disorder (oligomenorrhoea) 2 years before admission; however, emotional liability, sleep disorders and

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Gautam Das, Peter N Taylor, Arshiya Tabasum, L N Rao Bondugulapati, Danny Parker, Piero Baglioni, Onyebuchi E Okosieme and David Scott Coombes

.4 2.1 Treatment The patient's clinical profile, radiology and endocrine tests were discussed in the endocrine multidisciplinary meeting and he was recommended for a laparoscopic right adrenalectomy, which was successfully completed by

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A Pazderska, S Crowther, P Govender, K C Conlon, M Sherlock and J Gibney

). Treatment She underwent laparoscopic left adrenalectomy but remained hypercortisolaemic after surgery: morning cortisol on day 4 post surgery was 293nmol/L; cortisol post 1mg dexamethasone suppression test was 306nmol/L. Post-operatively, her right leg

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Harish Venugopal, Katherine Griffin and Saima Amer

. The patient also developed heart failure and atrial fibrillation. Laparoscopic bilateral adrenalectomy was discussed with the endocrine surgeons as a means to control his hypercortisolaemia; however, the surgical risk was deemed too high due to the

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C Mumby, J R E Davis, J Trouillas and C E Higham

(indicated by arrow). Treatment This patient received alpha blockade with oral phenoxybenzamine 10 mg daily titrated to 20 mg twice daily. She then underwent a successful laparoscopic hand-assisted left adrenalectomy. Her blood pressure

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Rachel Wurth, Crystal Kamilaris, Naris Nilubol, Samira M Sadowski, Annabel Berthon, Martha M Quezado, Fabio R Faucz, Constantine A Stratakis and Fady Hannah-Shmouni

diagnosis and normalization of serum inhibin A after treatment with adrenalectomy. Case presentation Clinical case 1 A 51-year-old Caucasian male with type 1 diabetes mellitus presented with worsening hyperglycemia and signs and symptoms of CS

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Valeria de Miguel, Andrea Paissan, Patricio García Marchiñena, Alberto Jurado, Mariana Isola, José Alfie and Patricia Fainstein-Day

). Simultaneous PRA Although laparoscopic adrenalectomy is the preferred therapy for pheochromocytoma, experience with simultaneous laparoscopic bilateral adrenalectomy is limited ( 10 ). The large work space and easiness to find anatomical landmarks made the

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Ravi Kumar Menon, Francesco Ferrau, Tom R Kurzawinski, Gill Rumsby, Alexander Freeman, Zahir Amin, Márta Korbonits and Teng-Teng L L Chung

demonstrated elevated levels of androgen precursors – pregnenediol (5PD), pregnenetriol (5PT) and DHEA (DHA) as well as the glucocorticoid precursor, tetrahydro-11-deoxycortisol (THS) ( Fig. 3 ). Figure 3 A 24-h urinary steroid profile: (a) pre-adrenalectomy