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KMID : 0882420150890010097
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Korean Journal of Medicine
2015 Volume.89 No. 1 p.97 ~ p.101
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A Case of a Coexisting Aldosterone-Producing Adrenal Adenoma and Ipsilateral Renal Artery Stenosis
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Jin Joon
Lim Chur-Hoan
Chung Jin-Ook
Cho Dong-Hyeok
Chung Dong-Jin
Chung Min-Young
Choi Yoo-Duk
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Abstract
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The simultaneous occurrence of renovascular hypertension and an aldosterone-producing adrenal adenoma is a rare entity. Here, we report the case of a 52-year-old female who had a coexisting aldosterone-producing adrenal adenoma and ipsilateral renal artery stenosis. She was diagnosed with the aldosterone-producing adrenal adenoma and then underwent a laparoscopic left adrenalectomy. Her blood pressure was uncontrolled after the adrenalectomy. Selective renal angiography showed left renal artery stenosis; thus, she underwent balloon angioplasty at the same sitting. Subsequently, her blood pressure returned to normal after administration of a single antihypertensive drug. This case suggests that it is important to recognize the possible coexistence of renal artery stenosis in a patient with an aldosterone-producing adrenal adenoma.
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KEYWORD
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Hyperaldosteronism, Renal artery obstruction, Adrenocortical adenoma
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