Adenoma suprarrenal funcional en gestante de 32 semanas programada para cesárea / Functional adrenal adenoma in a pregnant woman with a 32 week gestation scheduled for cesarean section

RESUMEN

La coexistencia de síndrome de Cushing y embarazo es rara. El diagnóstico es difícil, ya que la gestación produce síntomas y signos de hipercortisolismo. Su tratamiento idealmente es quirúrgico, pero conlleva un importante incremento de la morbimortalidad materna y fetal debido a complicaciones como hipertensión, preeclampsia, diabetes gestacional, aborto y parto pretérmino. Presentamos el caso de una primigestante de 32 semanas con síndrome de Cushing secundario a un adenoma suprarrenal funcional programada para cesárea.

ABSTRACT

The coexistence of Cushing syndrome and pregnancy is rare. Diagnosis is difficult because pregnancy can be accounted for signs and symptoms of hypercortisolism. Ideally, the treatment is surgical, though it implies a significant rise in morbidity and mortality for both the mother and the fetus. This is due to the increased number of complications such as hypertension, preeclampsia, gestational diabetes, abortion and preterm delivery. We present the case of a primiparous patient with a 32 week gestation and Cushing syndrome secondary to a functional adrenal adenoma who's been scheduled for a caesarean section.