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[Adrenal insufficiency after unilateral adrenalectomy for primary hyperaldosteronism]
Karen Bay Kønig1, Thure Krarup, Jens Otto Lund
1Medicinsk afdeling F, Amtssygehuset i Gentofte, klinisk fysiologisk/nuklearmedicinsk afdeling S.
Ugeskrift for Laeger
|January 31, 2002
Abstract:
A case of unexpected insufficiency of the remaining adrenal gland after unilateral adrenalectomy for primary hyperaldosteronism is described. The patient recovered from the initial disease, but postoperative tests repeatedly showed insufficient response to injection of ACTH. This case raises the question of interaction between the renin-angiotensin system and the hypothalamic-pituitary-adrenal-axis. Furthermore, it stresses the importance of testing the function of the remaining adrenal gland after unilateral adrenalectomy.