• Ankur Sharma, Rajeshwari Subramaniam, Mahesh Misra, Bandi Joshiraj, Gopi Krishnan, Prerna Varma, and Shyam Kishore.
• From the *Departments of Anesthesia, †Surgical Disciplines, ‡Anesthesiology, and §Endocrinology, All India Institute Medical Sciences, New Delhi, India.
• A A Case Rep. 2015 Jan 15;4(2):15-8.

AbstractCushing syndrome may rarely present with life-threatening hypercortisolism, manifested by hypertension, hypokalemia, hyperglycemia, and edema. If medical treatment proves ineffective in ameliorating the symptoms, emergent rescue adrenalectomy may be the only way to relieve the crisis. We describe the anesthetic management of a patient with an ectopic adrenocorticotropic hormone-secreting tumor, whose condition was rapidly deteriorating due to severe cortisol excess, and emergent adrenalectomy was the only available therapeutic modality. Despite severe metabolic derangement, edema, and incipient respiratory failure, emergent bilateral laparoscopic adrenalectomy was performed and the patient improved sufficiently to undergo surgery for the ectopic lesion without incident.

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