Unilateral adrenal hyperplasia: a rare cause of primary aldosteronism

Mahno, Noor Ezmas and Muhammad, Rohaizak and Abdul Shukur, Nordashima and Yaacob, Yazmin (2021) Unilateral adrenal hyperplasia: a rare cause of primary aldosteronism. International Medical Journal of Malaysia, 20 (2). pp. 177-180. ISSN 1823-4631 E-ISSN 2735-2285

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Abstract

A 73-year-old gentleman with a background history of long-standing hypertension and hyperlipidaemia presented with one-year history of persistent asymptomatic hypokalaemia associated with metabolic alkalosis. Within a few months, the hypertension worsened, needing increasing dose of anti-hypertensive agents. Biochemical test showed an elevated aldosterone-renin ratio but the computerized tomography (CT) scan of adrenal did not show any adrenal mass. Arterial stimulation venous sampling (ASVS) lateralized the lesion to the left side. A left retroperitoneal adrenalectomy was performed with immediate reversal of hypokalaemia and improvement of blood pressure control to only single anti-hypertensive agent.

Item Type:	Article (Case Report)
Additional Information:	6610/91079
Uncontrolled Keywords:	KEYWORDS: primary aldosteronism, adrenal venous sampling, adrenal hyperplasia, hypertension
Subjects:	R Medicine > RD Surgery
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Surgery
Depositing User:	Dr Noor Ezmas Mahno
Date Deposited:	27 Jul 2021 17:10
Last Modified:	27 Jul 2021 17:10
URI:	http://irep.iium.edu.my/id/eprint/91079

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