Searchable abstracts of presentations at key conferences in endocrinology
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20th European Congress of Endocrinology

Barcelona, Spain
19 May 2018 - 22 May 2018

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ECE 2018, 19 - 22 May 2018; Barcelona, Spain

Guided Posters

Adrenal Case reports

ea0056gp13 | Adrenal Case reports | ECE2018

Adrenal schwannoma presenting as an adrenal incidentaloma in a pregnant woman

Toboso Rosa Pilar Quilez , Martinez Maria Macarena Moreno , Aleman Maria Olmos , Martinez Cortes Jimenez , Rodriguez Silvia Aznar , Lopez Antonio Hernandez , Jimenez Luz Maria Lopez , Oliveira Cristina Lamas , Martinez Jose Joaquin Alfaro , Romero Francisco Botella

Introduction: Adrenal schwannomas are very rare tumors that are difficult to diagnose properatively. They represent only 1–3% of all retroperitoneum masses.Case report: A 30-year-old woman was referred to the outpatient to evaluate an adrenal mass incidentally found on abdominal ultrasonographic images obtained for self-limit abdominal pain. Her medical and family histories were unremarkable. Clinically asymptomatic, only referred amenorrhea for two...

ea0056gp14 | Adrenal Case reports | ECE2018

Sporadic paraganglioma and the importance of genetic screening

Schuldt Maria Belen Ojeda , Gavira Isabel Mateo , Escandon Laura Larran , Serrato Julian Tamayo , Lechuga Begona Sanchez , Rivero Daniel Medina , Diosdado Manuel Aguilar

Introduction: Paragangliomas are neuroendocrine tumors derived from the extra-adrenal paraganglionar system and are closely related to pheochromocytoma. About 50% are associated with genetic syndromes.Case report: We report a case of a sporadic paraganglioma incidentally found in a 30-year-old man, with no family or personal history of interest, in the context of abdominal pain study where a mass of 5×3×3 cm is detected in the abdominal aorto-c...

ea0056gp15 | Adrenal Case reports | ECE2018

Etomidate for the management of severe hypercortisolaemia in different clinical scenarios – a case series

Lebek-Szatanska Agnieszka , Nowak Karolina M , Zgliczynski Wojciech , Papierska Lucyna

Cushing’s syndrome is associated with life-threatening complications, as well as high rates of perioperative mortality and morbidity. Authors present clinical scenarios, in which one should consider the usage of intravenous etomidate as an accurate, safe and effective drug for hypercortisolaemia.Case 1: 23-year-old female with severe Cushing’s syndrome due to metastatic adrenocortical carcinoma was admitted to the Department of Endocrinology. S...

ea0056gp16 | Adrenal Case reports | ECE2018

Pheochromocytoma associated with cutaneous and uterine leiomyomatosis and renal cancer in a patient with a germline mutation in the FH gene

Diaz Marta Moron , Cortes Mauro Boronat , Martin Juan Luis Afonso , Moujir Carolina Fernandez-Trujillo , Lleo Ana Maria Gonzalez , Gonzalez Adriana Ibarra , Martin Nuria Perez , Mogollon Francisco Javier Novoa

Introduction: Most of pheochromocytomas (PCC) and paragangliomas (PGL) are sporadic. However, up to 40% of them have an inherited origin due to germline mutations in at least 15 known PCC/PGL genes, being the VHL and SDHx genes the ones most frequently affected. The fumarate hydratase (FH) is a Kreb’s cycle enzyme encoded by the FH gene.Its inactivating mutations increase intracellular levels of fumarate, leading to tissular pseudohypoxia and transcription of genes involv...

ea0056gp17 | Adrenal Case reports | ECE2018

A rare cause of endocrine hypertension

Marques Bernardo , Couto Joana , Lemos Manuel , Godinho Ricardo , Martins Raquel , Santos Jacinta , Martins Teresa , Rodrigues Fernando

Introduction: Just-glomerular tumours (reninomas) are rare causes of secondary hypertension (HT). They typically present with difficult to manage-HT, hypokalemia, hyperreninemia and secondary hyperaldosteronism. They are usually small lesions (<1 cm) and are more common in adolescents or young adults. Despite being rare, they should be considered in the diagnostic approach of secondary HT, as it they are a potentially curable cause.Case report: Femal...

ea0056gp18 | Adrenal Case reports | ECE2018

Bilateral testicular masses and adrenal insufficiency in a young adult: is congenital adrenal hyperplasia the only possible diagnosis?

Tresoldi Alberto Stefano , Betella Nazarena , Pizzocaro Alessandro , Lania Andrea Gerardo Antonio

Testicular adrenal rest tumours (TARTs) are benign tumours deemed to originate from ectopic adrenal cells that descend with the testes during fetal development. These cells grow under chronic ACTH stimulation, typically in patients with congenital adrenal hyperplasia (CAH). TARTs have also been rarely described in other conditions characterised by chronically elevated ACTH, such as autoimmune primary adrenal insufficiency (PAI). These are benign lesions, but could be misdiagno...

ea0056gp19 | Adrenal Case reports | ECE2018

Nonclassical congenital adrenal hyperplasia in a young patient with Type 1a Glycogen storage disease: is there a novel link between glucose metabolism and adrenal steroidogenesis?

Kandaraki Eleni , Papalou Olga , Spyridon Dourakis , Konstantoulakis Pantelis , Diamanti-Kandarakis Evanthia

Introduction: Glycogen storage disease type Ia is a rare genetic disorder that develops due to deficient activity of the enzyme glucose 6-phosphatase and manifests clinically early in life with hypoglycemia and failure to thrive, as well as with organ dysfunction, due to excess glycogen accumulation, including hepatomegaly and kidney dysfunction. Endocrine manifestations are commonly encountered in these patients. However, due to their rarity, endocrine dysfunction has not bee...

ea0056gp20 | Adrenal Case reports | ECE2018

Cushing’s syndrome revealing carney complex due to novel PRKAR1A mutation

Zhang Catherine D , Bancos Irina

Introduction: Carney complex (CNC) is a rare multiple neoplasia syndrome characterized by pigmented lesions of the skin and mucosa in association with various endocrine and non-endocrine tumors. The disease can be inherited in an autosomal-dominant fashion or occur sporadically due to novel mutations in the PRKAR1A gene. Primary pigmented nodular adrenocortical disease (PPNAD) is a common endocrine manifestation of CNC.Case description: A 20-year-old wom...

ea0056gp21 | Adrenal Case reports | ECE2018

The importance of the follow-up after bilateral adrenal adenomectomy for Cushing’s syndrome

Calinescu Nicoleta Daniela , Arhire Amalia Ioana , Barbu Carmen Gabriela

Introduction: We report a case of adrenal tumor recurrence after bilateral adenomectomy for Cushing’s syndrome.Case report: A 44-year-old female diagnosed in June 2014 with Cushing’s syndrome caused by bilateral adrenocortical tumors, which were identified by an abdominal CT (right tumor-2.6/ 2/1.8 cm, left tumor-3/2/2 cm). At presentation, the patient had typical signs and symptoms of hypercortisolism and complications such as: arterial hypert...