Jurnal Urologi Universitas Airlangga
ISSN 23026480
Vol. 1 / No. 1 / Published : 2013-01
Order : 7, and page :7 - 7
Related with : Scholar Yahoo! Bing
Original Article :
Conn's syndrome due to adrenal tumor
Author :
- Yudi Y. Ambeng*1
- Soetojo*2
- no data
- no data
Abstract :
Introduction: primary hyperaldosteronism or conn's syndrome is defined as aldosterone hyperexcression from adrenal gland and was associated with hypertension and low kalium level on blood. primary hyperaldosteronism can be caused by adrenal gland tumour or adrenal hyperplasia. the incidence reaches 1% of all hypertension patients. women are more affected compared to men (2.5 : 1). peak incidence is between 30-50 years old. Case report: reporting a women 36 years old with chief complain of complain of recurrent general weakness and hypokalemia since 1.5 years ago. the patients was consulted from internal medicine department, with past history of appendectomy and cesarean section. on physical examination, we found severe hypertension, scar on lower right abdomen and scar on midline below the navel. we found hypokalemia on laboratory test, and abdominal CT found hypodense mass on left suprarenal, with well defined and regular border, size 3.1x2.1x2.7cm. we performed laparoscopic left adrenalectomy with retroperitoneal approach and found adrenal tumor with the size 3x3x3cm. histopathological examination shows adrenoortical adenoma. we follow up the patient until 7th day post operative. the wound is good, symtomps subsided, blood pressure and laboratory return to normal. Conclusion: conn's syndrome is a hypersecretion of aldosterone by adrenal tumor with the symtomp of hypertension and hypokalemia. operative technique of choice is laparoscopic adrenalectomy because it is a small size benign tumor.
Keyword :
conn's syndrome, aldosterone hypersecresion, laparoscopic adrenalectomy,
References :
Carla Scaroni, Nicoletta Sonino,(1998) Incidentally discovered adrenal tumors: endocrine and scintigraphic correlates no data : the journal of clinical endocrinology & metabolism
Emil A. Tanagho, Jack W. McAninch,(2004) disorder of the adrenal glands no data : Smith's General Urology
Jay Y. Md Gillenwater,(2002) the adrenals no data : Adult and Pediatric Urology
L. Jarolim, J. Breza, H. Wunderlich,(2003) adrenal tumors no data : European Urology
Bornstein SR, Stratakis CA, Chrousos GP,(1999) adrenocortical tumors: recent advances in basic concepts and clinical management no data : Ann Intern Med
Archive Article
Cover Media | Content |
---|---|
Volume : 1 / No. : 1 / Pub. : 2013-01 |
|