[Adrenal insufficiency after unilateral adrenalectomy for primary hyperaldosteronism].
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.
Kønig
Karen Bay
KB
Medicinsk afdeling F, Amtssygehuset i Gentofte, klinisk fysiologisk/nuklearmedicinsk afdeling S.
Krarup
Thure
T
Lund
Jens Otto
JO
D000309:Adrenal Insufficiency / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology; D000315:Adrenalectomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006929:Hyperaldosteronism / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis* / Q000503:physiopathology