Sudarshanan Aditya, Koshy Rayna M, Mannath Sathia Narayanan, Fernandez Cornelius, Jacob Koshy
Department of Acute Medicine, Pilgrim Hospital, United Lincolnshire Hospitals NHS Trust, Boston, GBR.
Department of Internal Medicine, New Cross Hospital, Royal Wolverhampton NHS Trust, Wolverhampton, GBR.
Cureus. 2024 Oct 6;16(10):e70930. doi: 10.7759/cureus.70930. eCollection 2024 Oct.
Cushing's syndrome (CS) is uncommon during pregnancy and often difficult to diagnose due to similar symptoms shared with normal pregnancy. This case report discusses a 26-year-old woman who developed CS while pregnant, underlining the importance of early detection and the diagnostic challenges involved. The patient presented with gestational diabetes and pre-eclampsia during pregnancy. Post delivery, she continued to experience hypertension and facial swelling, which led to a diagnosis of CS. The patient underwent a successful laparoscopic adrenalectomy, which normalized her blood pressure and improved her symptoms. This case highlights the need for heightened awareness of CS in pregnant women exhibiting both gestational diabetes and hypertension, as early diagnosis and treatment are essential to reduce maternofoetal complications.
库欣综合征（CS）在孕期并不常见，且由于与正常妊娠有相似症状，常常难以诊断。本病例报告讨论了一名26岁女性在孕期患上CS的情况，强调了早期检测的重要性以及所涉及的诊断挑战。该患者在孕期出现妊娠糖尿病和子痫前期。产后，她持续出现高血压和面部肿胀，这导致了CS的诊断。患者接受了成功的腹腔镜肾上腺切除术，血压恢复正常，症状也有所改善。本病例凸显了对于同时患有妊娠糖尿病和高血压的孕妇，需要提高对CS的认识，因为早期诊断和治疗对于减少母婴并发症至关重要。
