Concomitant coexistence of ACTH-dependent and independent Cushing syndrome

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.

Automated summary

This case report describes a patient with ACTH-dependent Cushing's syndrome, who had hypercortisolism confirmed and normal ACTH levels. Transsphenoidal surgery was performed to remove a pituitary microadenoma. However, after surgery, the patient still exhibited persistent hypercortisolism. CT scan revealed surgically removed adrenal adenomas and improved the patient's condition.