A case of primary aldosteronism diagnosed and treated surgically at Chonnam University Hospital is presented with some literatual review.
Patient´s complaints were polydipsia, polyuria, weakness of muscles, mild headache and hypertension. Laboratory examination revealed as follow: Serum Na: 144 mEq./L., urinary aldosterone excretion: 80 microgram and 102 microgram initially and serum K: 1.9 mEq./L.
Under the diagnosis of primary aldosteronism, surgical exploration was performed with posterior retroperitoneal subdiaphragmatic approach.
Golden yellowish round, 1.5 ㎝. in diameter, of adenoma was removed with left adrenal gland, but right adrenal gland was normal limit.
After operation, patient condition improved dramatically and discharged with good condition on 20 postoperative day.
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