A Rare Case of XXXX Due to Bilateral Adrenocortical Adenomas.

@entity1 @entity4545 @entity821 @entity5 @entity1887 @entity699 @entity134 @entity701 @entity652
We report a rare case of @entity699 caused by bilateral @entity701 -secreting @entity652 in a 63-year-old @entity1 . Our preoperative diagnosis was based on endocrinological results and imaging findings. Laparoscopic adrenalectomy has become a standard technique for @entity5 ; however, bilateral adrenalectomy results in postoperative @entity1887 , necessitating lifelong @entity134 replacement. To preserve adrenal function, the left adrenal gland was completely resected, whereas the right adrenal gland was partially resected laparoscopically. @entity701 supplementation was initiated at a dose of 30 mg/day and was slowly tapered. However, symptoms of @entity1887 developed, and adrenal @entity134 secretion did not respond to exogenous @entity4545 . Bilateral @entity701 -secreting @entity5 rarely cause @entity699 . The present study comprised few @entity1 , and the utilized surgical procedures (i.e., total/partial adrenalectomy or bilateral total adrenalectomy) were not uniform. Few cases of bilateral adrenal-preserving surgery have been reported. However, our @entity1 developed @entity1887 after the oral @entity821 supplementation was tapered. This report demonstrates that partial adrenalectomy does not necessarily preserve normal adrenocortical function. Therefore, careful postoperative observation is necessary for @entity1 undergoing a partial adrenalectomy.
