Bilateral adrenal cortical adenomas in primary hyperaldosteronism
1998; Elsevier BV; Volume: 52; Issue: 4 Linguagem: Inglês
10.1016/s0090-4295(98)00223-4
ISSN1527-9995
AutoresJason D. Engel, Peter Angelos, Robert V. Rege, Raymond J. Joehl,
Tópico(s)Pituitary Gland Disorders and Treatments
ResumoBilateral adrenal cortical adenomas in the presence of primary hyperaldosteronism is an extremely rare condition. We present a case of primary hyperaldosteronism in which a unilateral hypersecreting aldosterone-producing adenoma coexisted with a large, contralateral adrenal mass ultimately found to be consistent with cortical adenoma. Management consisted of total adrenalectomy and enucleation of adenoma from the opposite adrenal. The patient is normotensive 3 years after surgery. Enucleation as a successful approach to hyperfunctioning cortical adenomas is proposed.
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