title: Recurrence of primary aldosteronism after percutaneous ethanol injection.
abstract: Adrenalectomy is the definite treatment for aldosterone-producing adenoma (APA). Percutaneous ethanol or acetic acid injection with computed tomography (CT) guidance has been described as a safe, noninvasive, and effective alternative treatment modality in patients with high surgical risk. We report on a man who was 49 years of age and presented with treatment-resistant hypertension and was later diagnosed with APA. CT-guided percutaneous ethanol injection (PEI) was performed for this high surgical risk patient. He had aldosteronism recurrence 4 years after the ethanol injection, so a second PEI was performed. The tumor size was reduced and his blood pressure was normalized. Therefore, we suggest that clinicians should closely check aldosterone to renin ration and potassium level if percutaneous chemical ablation is considered in functioning adrenal adenomas.
authors.affiliation: Department of Internal Medicine, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Fan-Chi
authors.initials: FC
authors.lastname: Chang
authors.forename: Kao-Lang
authors.initials: KL
authors.lastname: Liu
authors.forename: Kuo-How
authors.initials: KH
authors.lastname: Huang
authors.forename: Vin-Cent
authors.initials: VC
authors.lastname: Wu
authors.forename: Yen-Hung
authors.initials: YH
authors.lastname: Lin
authors.forename: Yung-Ming
authors.initials: YM
authors.lastname: Chen
authors.forename: Kwan-Dun
authors.initials: KD
authors.lastname: Wu
mesh_terms: D000236:Adenoma / Q000150:complications / Q000188:drug therapy*; D000279:Administration, Cutaneous; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000188:drug therapy*; D000431:Ethanol / Q000008:administration & dosage*; D006801:Humans; D006929:Hyperaldosteronism / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012008:Recurrence
chemical_list: D000431:Ethanol