Successful pregnancy after unilateral adrenalectomy in a case of primary pigmented adrenocortical disease

We describe a case of successful pregnancy in a patient with primary pigmented nodular adrenocortical disease. Unilateral adrenalectomy was performed pre-conception as treatment for the patient's bilateral adrenal disease. She later delivered a healdiy infant by cesarean section at week 38 of gestation. There was no evidence of either hyper- or hypo-cortisolism during die pregnancy. The unilateral laparoscopic adrenalectomy was successful in controlling her hypercortisolism during die ensuing pregnancy, and might provide a valid (albeit temporary) solution in similar situations.