World Journal of Endocrine Surgery

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VOLUME 10 , ISSUE 3 ( September-December, 2018 ) > List of Articles

ENDOCRINE IMAGE

Characteristic Computed Tomography Findings in Adrenocorticotropic Hormone-independent Macronodular Adrenal Hyperplasia: “Bunch of Grapes

Keywords : Adrenocorticotropic hormone-independent macronodular adrenal hyperplasia, Bilateral, Micronodular and adrenal

Citation Information : Characteristic Computed Tomography Findings in Adrenocorticotropic Hormone-independent Macronodular Adrenal Hyperplasia: “Bunch of Grapes”. World J Endoc Surg 2018; 10 (3):178-180.

DOI: 10.5005/jp-journals-10002-1244

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018 Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Adrenocorticotropic hormone (ACTH)- independent macronodular adrenal hyperplasia is an infrequent cause of Cushing\'s syndrome and may be confused with diffuse nodular or bilateral macro nodular hyperplasia (AIMAH) resulting from chronic stimulation by ACTH in Cushing\'s disease or ectopic ACTH secretion. On Computed tomography (CT) scan adrenal glands can be massively enlarged and bilateral nodules of soft tissue density measuring up to 5 cm distorting normal adrenal glands. Here we have a case of AIMAH in which CT scan revealed massively enlarged bilateral adrenal glands with multiple nodules giving an appearance of ‘bunch of grapes’.


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