Shanghai JiaoTong University School of Medicine - CRSLS https://crsls.sls.org MIS Case Reports of the Journal of the Society of Laparoscopic & Robotic Surgeons Wed, 24 Dec 2025 16:45:22 +0000 en-US hourly 1 https://wordpress.org/?v=6.9.4 https://crsls.sls.org/wp-content/uploads/2026/01/cropped-cropped-SLS_logo_HR-32x32.png Shanghai JiaoTong University School of Medicine - CRSLS https://crsls.sls.org 32 32 Diagnosis and Treatment of High-risk Pregnant Women With Cushing Syndrome Caused by Adrenal Tumor https://crsls.sls.org/2020-00079/ Tue, 23 Feb 2021 21:49:29 +0000 https://crsls.sls.org/?p=1810 Juping Zhao, MD, PhD, Parehe Alimu, MD, Jun Dai, MD, Jing Xie, MD, Danfeng Xu, MD, PhD, Fukang Sun, MD, PhD Department of Urology, Shanghai JiaoTong University School of Medicine, Ruijin Hospital, Shanghai, China (all authors). ABSTRACT Introduction: The occurrence of pregnancy with Cushing syndrome (CS) is rare but with high risks, posing a great […]

The post Diagnosis and Treatment of High-risk Pregnant Women With Cushing Syndrome Caused by Adrenal Tumor first appeared on CRSLS.

]]> Juping Zhao, MD, PhD, Parehe Alimu, MD, Jun Dai, MD, Jing Xie, MD, Danfeng Xu, MD, PhD, Fukang Sun, MD, PhD

Department of Urology, Shanghai JiaoTong University School of Medicine, Ruijin Hospital, Shanghai, China (all authors).

ABSTRACT

Introduction: The occurrence of pregnancy with Cushing syndrome (CS) is rare but with high risks, posing a great challenge to the clinical diagnosis and treatment of the disease.

Case Description: From Aug 2016 to Aug 2019, we admitted two pregnant women with CS caused by adrenal tumors. After multidisciplinary consultation, they underwent emergency Cesarean section because of heart failure and severe hypoxemia, and finally delivered a living baby after adjuvant therapy. Both patients underwent retroperitoneal laparoscopic adrenectomy (RLA) 2.6 and 1.5 months postpartum to have the adrenal tumors removed successfully. The post- operative pathology confirmed the adrenal tumor as adrenocortical adenoma. Partial hormone replacement therapy was initiated postoperatively and withdrawn uneventfully 1 year after RLA in both patients, and both patients have recovered well.

Conclusion: It is difficult to find CS in early pregnancy, and when it is detected in late pregnancy, it often poses a great risk because it is necessary to consider the safety of both mother and fetus, which requires multidisciplinary coordination and cooperation to positively adjust the cardiopulmonary function and internal environment after Cesarean section, knowing that timely RLA to remove the adrenocortical adenoma can effectively cure CS.

Key Words: Pregnancy, Cushing syndrome, Adrenal tumor, Heart failure, Hypertension.

Download (PDF, Unknown)

The post Diagnosis and Treatment of High-risk Pregnant Women With Cushing Syndrome Caused by Adrenal Tumor first appeared on CRSLS.

]]> Retroperitoneoscopical Partial Nephrectomy of Bilateral Renal Masses in One Session https://crsls.sls.org/2019-00025/ Mon, 12 Aug 2019 19:04:11 +0000 https://crsls.sls.org/?p=1703 Danfeng Xu, MD, Xin Xie, MD, Wenbin Rui, MD, Chenghe Wang, MD, Juping Zhao, MD, PhD Shanghai JiaoTang University School of Medicine, Ruijin Hospital, Department of Urology, Shanghai, China, 200025. ABSTRACT Introduction: Occurrence of synchronous bilateral sporadic renal masses is rare. Retroperitoneoscopical partial nephrectomy of bilateral renal masses in one session can be a technically […]

The post Retroperitoneoscopical Partial Nephrectomy of Bilateral Renal Masses in One Session first appeared on CRSLS.

]]> Danfeng Xu, MD, Xin Xie, MD, Wenbin Rui, MD, Chenghe Wang, MD, Juping Zhao, MD, PhD

Shanghai JiaoTang University School of Medicine, Ruijin Hospital, Department of Urology, Shanghai, China, 200025.

ABSTRACT

Introduction: Occurrence of synchronous bilateral sporadic renal masses is rare. Retroperitoneoscopical partial nephrectomy of bilateral renal masses in one session can be a technically challenging procedure due to ischemia time, paranchyma preserved and perioperative complications.

Case Description: We present a case where bilateral renal masses were synchronously excised via retroperitoneoscopy in a 53-year-old woman. There were five masses excised in all and pathology revealed chromophobe renal cell carcinoma with histologic concordance. No recurrence or metastasis was detected after 2 years of follow-up and renal function was optimal with glomerular filtration rate (GFR) 76.3 ml/min/1.73 m2, compared to the preoperative GFR of 77.5 ml/min/1.73 m2.

Conclusion: Retroperitoneoscopical partial nephrectomy is a feasible and effective procedure for bilateral renal masses in one session under experienced hands.

Key Words: Retroperitoneoscopy, Partial nephrectomy, Bilateral renal masses, Synchronous.

Download (PDF, Unknown)

The post Retroperitoneoscopical Partial Nephrectomy of Bilateral Renal Masses in One Session first appeared on CRSLS.

]]>