A Case of a Coexisting Aldosterone-Producing Adrenal Adenoma and Ipsilateral Renal Artery Stenosis |
Joon Jin1, Chur Hoan Lim1, Jin Ook Chung1, Dong Hyeok Cho1, Dong Jin Chung1, Min Young Chung1, Yoo Duk Choi2 |
1Departments of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea 2Departments of Pathology, Chonnam National University Medical School, Gwangju, Korea |
알도스테론 분비 부신샘종과 동측의 신장동맥혈관협착이 동반된 1예 |
진준1, 임철환1, 정진욱1, 조동혁1, 정동진1, 정민영1, 최유덕2 |
1전남대학교 의과대학 내과학교실 2전남대학교 의과대학 병리학교실 |
Correspondence:
Jin Ook Chung, Tel: +82-62-220-6081, Fax: +82-62-220-5210, Email: imagine-jjo@hanmail.net |
Received: 27 May 2014 • Revised: 21 July 2014 • Accepted: 6 April 2015 |
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This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Abstract |
The simultaneous occurrence of renovascular hypertension and an aldosterone-producing adrenal adenoma is a rare entity. Here, we report the case of a 52-year-old female who had a coexisting aldosterone-producing adrenal adenoma and ipsilateral renal artery stenosis. She was diagnosed with the aldosterone-producing adrenal adenoma and then underwent a laparoscopic left adrenalectomy. Her blood pressure was uncontrolled after the adrenalectomy. Selective renal angiography showed left renal artery stenosis; thus, she underwent balloon angioplasty at the same sitting. Subsequently, her blood pressure returned to normal after administration of a single antihypertensive drug. This case suggests that it is important to recognize the possible coexistence of renal artery stenosis in a patient with an aldosterone-producing adrenal adenoma. |
Key Words:
Hyperaldosteronism; Renal artery obstruction; Adrenocortical adenoma |
주제어:
고알도스테론증; 신동맥협착; 부신샘종 |