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Korean J Med > Volume 89(1); 2015 > Article
내분비-대사
The Korean Journal of Medicine 2015;89(1): 97-101.
알도스테론 분비 부신샘종과 동측의 신장동맥혈관협착이 동반된 1예
진준1, 임철환1, 정진욱1, 조동혁1, 정동진1, 정민영1, 최유덕2
1전남대학교 의과대학 내과학교실
2전남대학교 의과대학 병리학교실
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
Corresponding Author: Jin Ook Chung ,Tel: +82-62-220-6081, Fax: +82-62-220-5210, Email: imagine-jjo@hanmail.net
Received: May 27, 2014;   Revised: July 21, 2014;   Accepted: April 6, 2015.
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.
Keywords: Hyperaldosteronism; Renal artery obstruction; Adrenocortical adenoma
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