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- Title
Cushing's Syndrome in a Morbidly Obese Patient Undergoing Evaluation before Bariatric Surgery.
- Authors
Borsoi, Livia; Ludvik, Bernhard; Prager, Gerhard; Luger, Anton; Riedl, Michaela
- Abstract
Objective: Cushing's syndrome (CS) is extremely rare in morbidly obese patients. To date, no occurrences in obese patients with BMI above 60 kg/m2 have been reported in the literature. Case Report: This case report describes a patient who was admitted to the ward of the Clinical Division of Endocrinology and Metabolism of the Medical University of Vienna in preparation for bariatric surgery. The patient was a 49-year-old female who showed morbid obesity (BMI 61.6 kg/m2), hypertension, and substituted hypothyroidism. Preoperative work-up revealed CS due to an adrenal adenoma. Therefore, the patient underwent unilateral adrenalectomy followed by bariatric surgery 6 months later. Conclusion: Since undiagnosed CS might result in severe perioperative complications in a population already at increased risk, this case report underlines the importance of careful endocrine evaluation of morbidly obese patients. After all, even rare endocrine causes should be excluded. © 2014 S. Karger GmbH, Freiburg
- Publication
Obesity Facts: The European Journal of Obesity, 2014, Vol 7, Issue 3, p191
- ISSN
1662-4025
- Publication type
Article
- DOI
10.1159/000363260