Transarterial embolization of a hyperfunctioning aldosteronoma in a patient with bilateral adrenal nodules
نویسندگان
چکیده
Primary hyperaldosteronism often results in resistant hypertension and hypokalemia, which may lead to cardiovascular and cerebrovascular complications. Although surgery is first line treatment for unilateral functioning aldosteronomas, minimally invasive therapies may be first line for certain patients such as those who cannot tolerate surgery. We present a case of transarterial embolization (TAE) of an aldosteronoma. The patient presented with a cerebrovascular accident, and subsequently developed uncontrolled hypertension, hypokalemia, and a myocardial infarction. Following TAE, potassium returned to normal levels and blood pressure control was improved. There were no postoperative complications. TAE thus may be a safe and effective alternative to surgery.
منابع مشابه
Measurement of peripheral plasma 18-oxocortisol can discriminate unilateral adenoma from bilateral diseases in patients with primary aldosteronism.
Adrenal venous sampling is currently the only reliable method to distinguish unilateral from bilateral diseases in primary aldosteronism. In this study, we attempted to determine whether peripheral plasma levels of 18-oxocortisol (18oxoF) and 18-hydroxycortisol could contribute to the clinical differentiation between aldosteronoma and bilateral hyperaldosteronism in 234 patients with primary al...
متن کاملگزارش یک مورد هیپرآلدوسترونیسم به علت Aldosteronoma
Primary hyperaldosteronism is one of the few causes of hypertension that can be cured by surgery. Primary hyperaldosteronism is caused by adrenocortical adenoma or hyperplasia. It is important to differentiate between adrenal adenoma and hyperplasia because the preferred treatments are different. In all patients with new-onest or worsening hypertension the primary hyperaldosteronism should be c...
متن کاملA Case of Bilateral Testicular Tumors Subsequently Diagnosed as Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency
21-hydroxylase deficiency (21-OHD) caused congenital adrenal hyperplasia (CAH) is a group of autosomal recessive genetic disorders resulting from mutations in genes involved with cortisol (CO) synthesis in the adrenal glands. Testicular adrenal rest tumors (TARTs) are rarely the presenting symptoms of CAH. Here, we describe a case of simple virilizing CAH with TARTs, in a 15-year-old boy. The p...
متن کاملPrimary hyperaldosteronism and adrenal incidentaloma: an argument for physiologic testing before adrenalectomy.
OBJECTIVE To determine the frequency of nonfunctioning adrenal masses in patients with primary hyperaldosteronism. DESIGN A case series. SETTING A tertiary care hypertension clinic. PATIENTS Twenty-seven consecutive patients with primary hyperaldosteronism. MEASUREMENTS Blood pressure, serum electrolytes, supine and upright plasma renin, cortisol and aldosterone levels, selective adrena...
متن کاملAdrenal simple cyst in a young female patient: A case report
Introduction: Adrenal gland cysts with variable symptoms are rare cases of over-kidney clinical conditions. Adrenal cysts are accidentally identified, which is referred to as incidentaloma. Adrenal cysts are non-specific and show radiological findings and Detection of these cysts is usually random. In this article, a patient with a simple adrenal cyst is introduced Case presentation: The p...
متن کامل