Author/Authors :
Saladina, JJ Universiti Kebangsaan Malaysia - Surgery, Endocrine and Breast Surgery Unit, Malaysia , Rohaizak, M Universiti Kebangsaan Malaysia - Surgery, Endocrine and Breast Surgery Unit, Malaysia , Jasmi, AY Universiti Kebangsaan Malaysia - Surgery, Endocrine and Breast Surgery Unit, Malaysia , Sellymiah, A Universiti Kebangsaan Malaysia - Pathology, Malaysia , Aishah, MAS Universiti Kebangsaan Malaysia - Pathology, Malaysia , Das, S Universiti Kebangsaan Malaysia - Anatomy, Malaysia , Naqiyah, I Universiti Kebangsaan Malaysia - Surgery, Endocrine and Breast Surgery Unit, Malaysia , Shahrun, NS Universiti Kebangsaan Malaysia - Surgery, Endocrine and Breast Surgery Unit, Malaysia
Abstract :
Presence of a hypofunctioning pigmented adenoma are commonly asymptomatic and is usually only found during an autopsy. In contrast, hyperfunctioning pigmented adenoma is a rare clinical entity and in the majority of cases results in Cushing‟s syndrome. In this case study, we report a 66-year-old male who presented instead with the clinical and biochemical features of Conn‟s syndrome. On laparoscopic adrenalectomy, it was found that the tumour had a functioning black adenoma which does not usually present with Conn‟s syndrome but rather to that of a Cushing‟s. The intraoperative changes and histopathological findings are discussed.
Keywords :
Conn’s adenoma , pigmented , lesion , laparoscopy , histopathology , surgery