title: An adverse pregnancy-associated outcome due to overlooked primary aldosteronism.
abstract: A 31-year-old woman with treatment-resistant pregnancy-induced hypertension during her first pregnancy delivered a small-for-gestational-age infant (weight: 1,070 g). After delivery, she was diagnosed with primary aldosteronism (PA) associated with a left adrenal adenoma. Following a thorough examination, she underwent laparoscopic left adrenalectomy, and the diagnosis of an aldosterone-producing adenoma was confirmed based on a pathological examination. Thereafter, the patient's hypertension and hypokalemia completely disappeared. She became pregnant again and successfully delivered her second infant at the 37th week of gestation (weight: 2,720 g) without developing treatment-resistant hypertension. Secondary causes of hypertension should not be overlooked, even in young pregnant women.
authors.affiliation: Division of Cardiovascular Medicine, Department of Medicine, Jichi Medical University, Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Eguchi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Hoshide
authors.forename: Shuichi
authors.initials: S
authors.lastname: Nagashima
authors.forename: Takashi
authors.initials: T
authors.lastname: Maekawa
authors.forename: Hironobu
authors.initials: H
authors.lastname: Sasano
authors.forename: Kazuomi
authors.initials: K
authors.lastname: Kario
mesh_terms: D000306:Adrenal Cortex Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000315:Adrenalectomy; D018246:Adrenocortical Adenoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D005260:Female; D006801:Humans; D006929:Hyperaldosteronism / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D046110:Hypertension, Pregnancy-Induced / Q000209:etiology*; D007008:Hypokalemia / Q000209:etiology; D007231:Infant, Newborn; D007236:Infant, Small for Gestational Age; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy