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Bilateral adrenal cortical adenomas in primary hyperaldosteronism
J D Engel1, P Angelos, R V Rege
1Department of Urology, Northwestern University Medical School, Chicago, Illinois 60611, USA.
Urology
|October 8, 1998
Summary
Bilateral adrenal cortical adenomas with primary hyperaldosteronism are rare. Surgical enucleation of a hyperfunctioning adenoma alongside adrenalectomy for a contralateral mass successfully treated hypertension.
Area of Science:
- Endocrinology
- Surgical Oncology
- Nephrology
Background:
- Primary hyperaldosteronism is often caused by unilateral adrenal adenomas.
- Bilateral adrenal cortical adenomas are exceptionally rare, especially when presenting with primary hyperaldosteronism.
Observation:
- A patient presented with primary hyperaldosteronism due to coexisting bilateral adrenal cortical adenomas.
- One adenoma was a hypersecreting aldosterone-producing adenoma, while the contralateral mass was a large cortical adenoma.
Findings:
- The management involved a total adrenalectomy on one side and enucleation of the adenoma from the contralateral adrenal gland.
- The patient achieved normotension three years post-surgery.
Implications:
- This case suggests that enucleation can be a successful approach for managing hyperfunctioning cortical adenomas.
- It highlights a potential surgical strategy for rare bilateral adrenal adenoma presentations causing primary hyperaldosteronism.