Bilateral adrenal cortical adenomas in primary hyperaldosteronism.
Bilateral adrenal cortical adenomas in the presence of primary hyperaldosteronism is an extremely rare condition. We present a case of primary hyperaldosteronism in which a unilateral hypersecreting aldosterone-producing adenoma coexisted with a large, contralateral adrenal mass ultimately found to be consistent with cortical adenoma. Management consisted of total adrenalectomy and enucleation of adenoma from the opposite adrenal. The patient is normotensive 3 years after surgery. Enucleation as a successful approach to hyperfunctioning cortical adenomas is proposed.
Department of Urology, Northwestern University Medical School, Chicago, Illinois 60611, USA.
J D
JD
Engel
P
P
Angelos
R V
RV
Rege
R J
RJ
Joehl
D000306:Adrenal Cortex Neoplasms / Q000150:complications* / Q000473:pathology; D018246:Adrenocortical Adenoma / Q000150:complications* / Q000473:pathology; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications*; D008297:Male; D008875:Middle Aged