Case report of Cushing’s disease due to pituitary microadenoma presented with psychoses after successful trans-phenoidal surgery.

A 50 years female presented with long term morbid obesity with knee pain and long standing hypertension which is often gets uncontrolled every few months interval. She had very mild IFG that was culminated to the obesity. Patient was more concerned about the obesity which is posing her problem. Patient had so many common problems affecting the general population such as obesity, hypertension and IFG that is why patient was undiagnosed for years. Patient was treated by anti hypertensive medication, diet control, TLC for many years before she came to specialist consultation few months back. Patient was diagnosed a case of Cushing disease due to pituitary microadenoma which was successively removed by transphenoidal surgery. She was losing weight but developed depression with anxiety neurosis one month after surgery that is vey uncommon.