Case 359

Case 359


A 3-year-old female pacient is brought to the clinic due to weight gain of 17 lbs on the last 3 months, breast and pubic hair development, polyuria, polydipsia and polyphagia. Physical examination reveals moon facies, breast hypertrophy, acne and virilization. Hospitalization was required to clarify the diagnosis and during this time, she presented with high and unstable pressoric levels. Computed tomography and ultrasonography were performed and the results are presented on the images 1 to 4.

Contrast-enhanced computed tomography of the abdomen, axial view, renal level.

Sagittal reconstruction of contrast-enhanced computed tomography of the abdomen and pelvis. 

Abdominal ultrasonography, sagittal view, left lumbar quadrant.

Doppler ultrasonography of the abdomen, right hypochondrium.

Considering the clinical history and the findings of both CT and USG, what is the most lileky diagnosis?