- Author:
Joon JIN
1
;
Chur Hoan LIM
;
Jin Ook CHUNG
;
Dong Hyeok CHO
;
Dong Jin CHUNG
;
Min Young CHUNG
;
Yoo Duk CHOI
Author Information
- Publication Type:Case Report
- Keywords: Hyperaldosteronism; Renal artery obstruction; Adrenocortical adenoma
- MeSH: Adenoma*; Adrenalectomy; Adrenocortical Adenoma; Angiography; Angioplasty, Balloon; Blood Pressure; Female; Humans; Hyperaldosteronism; Hypertension, Renovascular; Middle Aged; Renal Artery Obstruction*
- From:Korean Journal of Medicine 2015;89(1):97-101
- CountryRepublic of Korea
- Language:Korean
- 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.