Primary aldosteronism, one of the surgically correctable causes of hypertension, is a syndrome due to excessive secretion of aldosterone from the adrenal cortex. Hypertension, hypokalemia and excessive production of aldosterone were the original
features of the syndrome.
A case of primary aldosteronism is presented with a brief review of literatures.
This female, 52 year-old patient complained of chest pain, generalized weakness and hypertension. The physical and laboratory examination revealed blood pressured 100/300 mmHg, serum potassium concentration 1.77 mEq/1, plasma renin activity
0.37ng/ml/hr(erect), serum aldosterone 1130.40pg/ml(erect).
At right subcostal approach a well defined adenoma of the right adrenal was discovered and the gland was removed. Bright yellowish, round adenoma measured 1.8×1.8×1.5 cm.
Postoperatvely, patients has felt well. The patient remained normotensive and normokalemic conditions. Serum aldosterone value was returned to normal level.
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