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Cirugía paraguaya

On-line version ISSN 2307-0420


FELTES, Soel; DELGADO, Marcos; DUARTE, Dayhana  and  FERREIRA, Miguel. Transperitoneal laparoscopic right suprarrenalectomy for Conn Syndrome. Cir. parag. [online]. 2019, vol.43, n.3, pp.34-35. ISSN 2307-0420.

The main cause of primary hyperaldosteronism is aldosteronoma, which is an adenoma of the aldosterone-secreting adrenal cortex; it usually occurs at the age of 30 to 60 years, with a predominance in women in a 1.5: 1 ratio. Most of the time it is unilateral, but in rare cases it can be bilateral (8%). Suspect aldosteronoma in patients with hypertension, hypokalemia and metabolic alkalosis, as well as in patients with a family history of primary hyperaldosteronism, incidentaloma and hypertension, and in the evaluation of all secondary hypertension. We report the case of a female patient of 51 years of age, who consulted for paresthesia of upper and lower limbs, hypertension treated with four antihypertensive drugs, one-year evolution Laboratorially hypokalemia is verified, for which aldosterone dosage is requested returned in high values; TAC with contrast is requested, where a right suprarenal tumor is evident. Aldosteronoma or Conn syndrome was diagnosed based on the increased serum aldosterone concentrations and abdominal computed axial tomography that showed a right suprarenal tumor. The patient was treated with laparoscopic adrenalectomy and the pathology study confirmed an adrenal adenoma.

Keywords : Conn´s Syndrome; hyperaldosteronism; hypokalemia.

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