Fibromuscular dysplasia of the renal artery and adrenal adenoma in a 36-year-old woman with hypertension.
A 36-year-old woman had fibrous dysplasia of the left renal artery and an aldosterone-producing adenoma of the right adrenal gland. The patient was evaluated first for secondary hypertension using a renal angiogram that showed fibrous dysplasia with stenosis of the left renal artery; angioplasty was successful. However, 1 month after angioplasty, hypertension recurred. Initially, it was thought that it had restenosed but after a negative angiography, adrenal computed tomography showed a 0.8-cm x 1-cm tumor of the right adrenal gland. The tumor was removed surgically, markedly improving her hypertension.
Mattix
H
H
Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Dennard
D T
DT
Hall
W D
WD
D000236:Adenoma / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D017130:Angioplasty; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications* / Q000601:surgery; D006801:Humans; D006978:Hypertension, Renovascular / Q000209:etiology / Q000628:therapy; D012078:Renal Artery Obstruction / Q000150:complications* / Q000601:surgery; D014057:Tomography, X-Ray Computed