Intestinal tuberculosis in a patient with Cushing's syndrome

Johanne Myrrh E Soriano; Rene A Amadore Jr; Roy Raoul H Felipe; Lovell B Gatchalian

doi:10.1016/j.idcr.2022.e01674

Intestinal tuberculosis in a patient with Cushing's syndrome

IDCases. 2022 Dec 29:31:e01674. doi: 10.1016/j.idcr.2022.e01674. eCollection 2023.

Authors

Johanne Myrrh E Soriano¹, Rene A Amadore Jr¹, Roy Raoul H Felipe¹, Lovell B Gatchalian¹

Affiliation

¹ Department of Internal Medicine, East Avenue Medical Center, Philippines.

Abstract

A 39-year-old woman presented with cushingoid features was worked up and diagnosed to have ACTH-independent Cushing's syndrome. Computed tomography of the whole abdomen revealed a left adrenal mass. She was scheduled for elective laparoscopic left adrenalectomy, however, a few days prior to the surgery, the patient had hematochezia. Colonoscopy revealed multiple ulcers on the terminal ileum, to which biopsy revealed Mycobacterium tuberculosis infection. The patient underwent laparoscopic left adrenalectomy on the same admission, which revealed adrenal adenoma on histopathology.

Keywords: Adrenal adenoma; Cushing’s syndrome; Hematochezia; Mycobacterium tuberculosis infection.

Publication types

Case Reports