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Abstract

Abstract Title

ACTH independent Cushing syndrome secondary to PPNAD, a rare clinical presentation of carney’s complex, managed surgically by B/L robot assisted adrenalectomy with 2 hypertension in 15 yrs male

Presentation Type

Moderated Poster Abstract

Manuscript Type

Case Study

Abstract Category *

Oncology: Kidney (non-UTUC)

Author's Information

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Co-author 1

Manish Gupta dr.ishwar79@gmail.com MGU, Jaipur Urology Jaipur India *

Co-author 2

Harsh Patel dr.ishwar79@gmail.com MGU, Jaipur Urology Jaipur India

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Abstract Content

Introduction

A 15 year male patient admitted for evaluation of excessive weight gain since 05yrs. C/o B/L lower limb proximal muscle weakness, difficulty getting up from squatting position. Purplish stretch marks over abdomen since 3mon, Acanthosis nigricans grade 4 over neck & axilla, moon face +, central obesity+, buffalo hump present, supraclavicular fat + & purple striae present over abdomen

Materials and Methods

USG Abd:- Normal Study (RK- 99x49mm & LK-101x53mm). USG Scrotum :- B/L testicular Microlithiasis & Tiny Hypoechoic lesion in right testis. B/L testis hypoechoic in echotexture. USG Breast:- Fatty fibroglandular tissue on both side . Triple phase CT Abd:- B/L adrenal glands bulky After complete anesthetic check up & clearence patient was taken for robot assisted B/L adrenalectomy first right side of the gland was removed & subsequently patient was redocked to remove the left adrenal gland with new port placement.

Results

Conclusions

Patient was discharge on full oral diet & HPE was sent of both the glands separately

Keywords

Robot assisted B/L adrenal gland excision in a patient with carney’s complex

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Presentation Order