Cortical adrenal adenoma, hypercortisolism, cardiomyopathy, and intra-pancreatic accessory spleen in a 3-month-old infant

We present a case of congenital cortical adrenal adenoma-associated endogenous hypercortisolism in a 3-month-old infant. The patient manifested polyphagia, weight gain, and changes in sleep patterns. During physical examination we found a full-moon face, bulkiness in the cervico-dorsal “buffalo-hump” region, high blood pressure, and serum cortisol of 163 µg/dL. Abdominal ultrasound revealed left adrenal tumor. During hospitalization, the patient experienced

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