title: [Bilateral Conn's adenoma. Diagnostic discussions].
abstract: Primary hyperaldosteronism represents less tha 1% of all causes of hypertension. We report one case of primary hyperaldosteronism which emphasizes the difficulty of distinguishing tumoral PHA from idiopathic PHA (bilateral adrenal hyperplasia), observed in a 57-year-old man. The diagnosis was suggested by marked hypokalemia, and was confirmed by hyperaldosteronaemia and low and poorly stimulated renin activity. Intravenous saline infusion failed to significantly suppress plasma aldosterone levels. Upright posture for 60 minutes suppressed plasma aldosterone concentration. A Computed tomography (CT) scan showed bilateral adrenal mass. Management consisted of total right adrenalectomy, and enucleation of adenoma from the opposite adenoma. The patient is normotensive 4 years after surgery.
authors.affiliation: Service de Cardiologie (B), Hôpital Avicenne, Rabat, Maroc.
authors.forename: Jamila
authors.initials: J
authors.lastname: Zarzur
authors.forename: Ahmed
authors.initials: A
authors.lastname: Ameur
authors.forename: Badr
authors.initials: B
authors.lastname: el Younassi
authors.forename: Mohamed
authors.initials: M
authors.lastname: Lezrek
authors.forename: Amoqrane
authors.initials: A
authors.lastname: Beddouch
authors.forename: Mohamed
authors.initials: M
authors.lastname: Arharbi
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging* / Q000601:surgery; D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D000315:Adrenalectomy; D000450:Aldosterone / Q000097:blood; D006801:Humans; D006929:Hyperaldosteronism / Q000097:blood / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D000450:Aldosterone