Challenges in the Management of Cushing’s Syndrome Associated with Double ACTH-Secreting Pituitary Adenomas: A Case Report

Cushing's disease (CD) is a rare endocrine disorder primarily caused by a corticotroph pituitary microadenoma. The occurrence of double pituitary adenomas (DPA), particularly with two ACTH-secreting microadenomas, is exceptionally uncommon. Untreated or poorly managed CD can lead to severe complications, such as bilateral avascular necrosis of the femoral heads.