Primary hyperaldosteronism treated by radiofrequency ablation.
This is a report of a 57-year-old Jordanian man who had uncontrolled hypertension and hypokalemia. He was diagnosed to have primary hyperaldosteronism with left adrenal adenoma. Traditionally, surgical resection of the adrenal gland whether by laparotomy or laparoscopic procedures would have been considered at this point. However, the treating team elected radiofrequency ablation of the left adrenal in view of the fact that this facility and the expertise was available in the hospital; in addition, this procedure required a shorter duration of hospitalization, was less expensive, and was less invasive. Subsequently, the patients blood pressure improved to 120/75 mm Hg and his anti-hypertensive medications were reduced. Serum aldosterone and computed tomography scan of adrenals improved. We are reporting this case as it is the first time such modalities in the treatment of adrenal adenoma was used.
Al-Shaikh
Abdulrahman A
AA
Department of Medicine, Faculty of Medicine, King Abdul-Aziz University, PO Box 80215, Jeddah 21589, Kingdom of Saudi Arabia. joodshaikh@yahoo.com
Al-Rawas
Mohamed M
MM
Al-Asnag
Mirvat A
MA
D000312:Adrenal Hyperplasia, Congenital / Q000000981:diagnostic imaging / Q000628:therapy*; D000315:Adrenalectomy / Q000379:methods*; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D006929:Hyperaldosteronism / Q000000981:diagnostic imaging / Q000628:therapy*; D006973:Hypertension / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006979:Hyperthermia, Induced; D007008:Hypokalemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010690:Phlebography; D014057:Tomography, X-Ray Computed