A case report of hyponatremia after surgery for Conn’s adenoma

Primary aldosteronism (PA), also known as Conn’s syndrome, is a frequent cause of secondary hypertension. If PA is due to a documented unilateral adrenal adenoma, adrenalectomy is the treatment of choice. Endocrine Society guidelines suggest monitoring potassium after adrenalectomy, while there is n...

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Autores principales: Furlanis, Giulia, Bernardi, Stella, Cavressi, Monica, Zandonà, Lorenzo, Carretta, Renzo, Fabris, Bruno, Bardelli, Moreno
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2017
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5843937/
https://www.ncbi.nlm.nih.gov/pubmed/29141492
http://dx.doi.org/10.1177/1470320317740240
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author Furlanis, Giulia
Bernardi, Stella
Cavressi, Monica
Zandonà, Lorenzo
Carretta, Renzo
Fabris, Bruno
Bardelli, Moreno
author_facet Furlanis, Giulia
Bernardi, Stella
Cavressi, Monica
Zandonà, Lorenzo
Carretta, Renzo
Fabris, Bruno
Bardelli, Moreno
author_sort Furlanis, Giulia
collection PubMed
description Primary aldosteronism (PA), also known as Conn’s syndrome, is a frequent cause of secondary hypertension. If PA is due to a documented unilateral adrenal adenoma, adrenalectomy is the treatment of choice. Endocrine Society guidelines suggest monitoring potassium after adrenalectomy, while there is no mention of sodium disorders after surgery. Here we report the case of a patient with Conn’s syndrome who developed hyponatremia after surgery. This was an unexpected event in the course of the treatment, which sheds light on the fact that low levels of aldosterone strongly influence sodium concentration, and advises clinicians to monitor sodium after adrenalectomy.
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spelling pubmed-58439372018-03-20 A case report of hyponatremia after surgery for Conn’s adenoma Furlanis, Giulia Bernardi, Stella Cavressi, Monica Zandonà, Lorenzo Carretta, Renzo Fabris, Bruno Bardelli, Moreno J Renin Angiotensin Aldosterone Syst Original Article Primary aldosteronism (PA), also known as Conn’s syndrome, is a frequent cause of secondary hypertension. If PA is due to a documented unilateral adrenal adenoma, adrenalectomy is the treatment of choice. Endocrine Society guidelines suggest monitoring potassium after adrenalectomy, while there is no mention of sodium disorders after surgery. Here we report the case of a patient with Conn’s syndrome who developed hyponatremia after surgery. This was an unexpected event in the course of the treatment, which sheds light on the fact that low levels of aldosterone strongly influence sodium concentration, and advises clinicians to monitor sodium after adrenalectomy. SAGE Publications 2017-11-15 /pmc/articles/PMC5843937/ /pubmed/29141492 http://dx.doi.org/10.1177/1470320317740240 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Furlanis, Giulia
Bernardi, Stella
Cavressi, Monica
Zandonà, Lorenzo
Carretta, Renzo
Fabris, Bruno
Bardelli, Moreno
A case report of hyponatremia after surgery for Conn’s adenoma
title A case report of hyponatremia after surgery for Conn’s adenoma
title_full A case report of hyponatremia after surgery for Conn’s adenoma
title_fullStr A case report of hyponatremia after surgery for Conn’s adenoma
title_full_unstemmed A case report of hyponatremia after surgery for Conn’s adenoma
title_short A case report of hyponatremia after surgery for Conn’s adenoma
title_sort case report of hyponatremia after surgery for conn’s adenoma
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5843937/
https://www.ncbi.nlm.nih.gov/pubmed/29141492
http://dx.doi.org/10.1177/1470320317740240
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