Persistent Primary Aldosteronism Despite Iatrogenic Adrenal Hemorrhage After Adrenal Vein Sampling

Before surgery for primary aldosteronism (PA), localization is evaluated with adrenal vein sampling (AVS). A 56-year-old Japanese woman had a right adrenal mass, hypokalemia, and a high aldosterone/renin ratio. Stress tests confirmed the diagnosis of PA. Subsequently, preoperative AVS was performed...

Descripción completa

Detalles Bibliográficos
Autores principales: Okamura, Keisuke, Okuda, Tetsu, Shirai, Kazuyuki, Abe, Ichiro, Kobayashi, Kunihisa, Ishii, Tatsu, Haraoka, Seiji, Urata, Hidenori
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722048/
https://www.ncbi.nlm.nih.gov/pubmed/29238437
http://dx.doi.org/10.14740/jocmr3243w
_version_ 1783284933883592704
author Okamura, Keisuke
Okuda, Tetsu
Shirai, Kazuyuki
Abe, Ichiro
Kobayashi, Kunihisa
Ishii, Tatsu
Haraoka, Seiji
Urata, Hidenori
author_facet Okamura, Keisuke
Okuda, Tetsu
Shirai, Kazuyuki
Abe, Ichiro
Kobayashi, Kunihisa
Ishii, Tatsu
Haraoka, Seiji
Urata, Hidenori
author_sort Okamura, Keisuke
collection PubMed
description Before surgery for primary aldosteronism (PA), localization is evaluated with adrenal vein sampling (AVS). A 56-year-old Japanese woman had a right adrenal mass, hypokalemia, and a high aldosterone/renin ratio. Stress tests confirmed the diagnosis of PA. Subsequently, preoperative AVS was performed and right adrenal hemorrhage (AH) occurred unexpectedly. Because hypertension persisted, laparoscopic right adrenalectomy was performed. Postoperatively, the blood pressure was normalized. Pathological examination revealed an adrenal cortical adenoma largely unaffected by necrosis and hemorrhage. Previous reports have also indicated that AH may not ameliorate PA. We discussed the clinical progress of AH and the measures to prevent causing AH.
format Online
Article
Text
id pubmed-5722048
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Elmer Press
record_format MEDLINE/PubMed
spelling pubmed-57220482017-12-13 Persistent Primary Aldosteronism Despite Iatrogenic Adrenal Hemorrhage After Adrenal Vein Sampling Okamura, Keisuke Okuda, Tetsu Shirai, Kazuyuki Abe, Ichiro Kobayashi, Kunihisa Ishii, Tatsu Haraoka, Seiji Urata, Hidenori J Clin Med Res Case Report Before surgery for primary aldosteronism (PA), localization is evaluated with adrenal vein sampling (AVS). A 56-year-old Japanese woman had a right adrenal mass, hypokalemia, and a high aldosterone/renin ratio. Stress tests confirmed the diagnosis of PA. Subsequently, preoperative AVS was performed and right adrenal hemorrhage (AH) occurred unexpectedly. Because hypertension persisted, laparoscopic right adrenalectomy was performed. Postoperatively, the blood pressure was normalized. Pathological examination revealed an adrenal cortical adenoma largely unaffected by necrosis and hemorrhage. Previous reports have also indicated that AH may not ameliorate PA. We discussed the clinical progress of AH and the measures to prevent causing AH. Elmer Press 2018-01 2017-12-01 /pmc/articles/PMC5722048/ /pubmed/29238437 http://dx.doi.org/10.14740/jocmr3243w Text en Copyright 2018, Okamura et al. http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Non-Commercial 4.0 International License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Okamura, Keisuke
Okuda, Tetsu
Shirai, Kazuyuki
Abe, Ichiro
Kobayashi, Kunihisa
Ishii, Tatsu
Haraoka, Seiji
Urata, Hidenori
Persistent Primary Aldosteronism Despite Iatrogenic Adrenal Hemorrhage After Adrenal Vein Sampling
title Persistent Primary Aldosteronism Despite Iatrogenic Adrenal Hemorrhage After Adrenal Vein Sampling
title_full Persistent Primary Aldosteronism Despite Iatrogenic Adrenal Hemorrhage After Adrenal Vein Sampling
title_fullStr Persistent Primary Aldosteronism Despite Iatrogenic Adrenal Hemorrhage After Adrenal Vein Sampling
title_full_unstemmed Persistent Primary Aldosteronism Despite Iatrogenic Adrenal Hemorrhage After Adrenal Vein Sampling
title_short Persistent Primary Aldosteronism Despite Iatrogenic Adrenal Hemorrhage After Adrenal Vein Sampling
title_sort persistent primary aldosteronism despite iatrogenic adrenal hemorrhage after adrenal vein sampling
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5722048/
https://www.ncbi.nlm.nih.gov/pubmed/29238437
http://dx.doi.org/10.14740/jocmr3243w
work_keys_str_mv AT okamurakeisuke persistentprimaryaldosteronismdespiteiatrogenicadrenalhemorrhageafteradrenalveinsampling
AT okudatetsu persistentprimaryaldosteronismdespiteiatrogenicadrenalhemorrhageafteradrenalveinsampling
AT shiraikazuyuki persistentprimaryaldosteronismdespiteiatrogenicadrenalhemorrhageafteradrenalveinsampling
AT abeichiro persistentprimaryaldosteronismdespiteiatrogenicadrenalhemorrhageafteradrenalveinsampling
AT kobayashikunihisa persistentprimaryaldosteronismdespiteiatrogenicadrenalhemorrhageafteradrenalveinsampling
AT ishiitatsu persistentprimaryaldosteronismdespiteiatrogenicadrenalhemorrhageafteradrenalveinsampling
AT haraokaseiji persistentprimaryaldosteronismdespiteiatrogenicadrenalhemorrhageafteradrenalveinsampling
AT uratahidenori persistentprimaryaldosteronismdespiteiatrogenicadrenalhemorrhageafteradrenalveinsampling

Ejemplares similares