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CASE REPORT
Year : 2021  |  Volume : 34  |  Issue : 1  |  Page : 398-400

Role of adrenal venous sampling and radiological imaging in primary hyperaldosteronism: a case report


Department of Internal Medicine, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia

Correspondence Address:
Mostafa N Mohrag
Department of Internal Medicine, Faculty of Medicine, Jazan University, Jazan
Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_260_20

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The authors present a case of a 63-year-old male patient who was evaluated for consistent hypokalemia and longstanding uncontrolled hypertension. Iatrogenic hypokalemia was excluded. The patient underwent a series of laboratory investigations which showed high levels of aldosterone and an increased aldosterone/renin ratio. A renal/adrenal ultrasound showed a mass in the right adrenal gland, which was presumed to be an adenoma. Adrenal venous sampling was conducted to establish the diagnosis and secretory ability of the mass, but the results showed a paradoxical low aldosterone secretion. The patient was further examined through MRI, which confirmed the adrenal mass, based on which he underwent laparoscopic adrenalectomy that resulted in the normalization of aldosterone, serum potassium, and blood pressure.


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