<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202019000300034</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2019.diciembre.34-35</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Suprarrenalectomia derecha videolaparoscópica transperitoneal por Síndromede Conn]]></article-title>
<article-title xml:lang="en"><![CDATA[Transperitoneal laparoscopic right suprarrenalectomy for Conn Syndrome]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Feltes]]></surname>
<given-names><![CDATA[Soel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado]]></surname>
<given-names><![CDATA[Marcos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[Dayhana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itauguá  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>43</volume>
<numero>3</numero>
<fpage>34</fpage>
<lpage>35</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202019000300034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202019000300034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202019000300034&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La principal causa de hiperaldosteronismo primario es el aldosteronoma, que es un adenoma de la corteza suprarrenal secretor de aldosterona; generalmente ocurre a la edad de 30 a 60 años, con predominio en mujeres en relación 1.5:1. La mayoría de las veces es unilateral, pero en raras ocasiones puede ser bilateral (8%). Hay que sospechar aldosteronoma en los pacientes que presentan hipertensión, hipocalemia y alcalosis metabólica, así como en los pacientes con antecedente familiar de hiperaldosteronismo primario, incidentaloma e hipertensión, y en la evaluación de toda hipertensión secundaria. Se reporta el caso de una paciente de sexo femenino de 51 años de edad, que consulta por parestesia de miembros superiores e inferiores, hipertensión arterial tratada con cuatro drogas antihipertensivas, de un año de evolución.Laboratorialmente se constata hipocalemia, por lo cual se solicita dosaje de aldosterona retornado en valores elevados; se solicita TAC con contraste en donde se evidencia un tumor suprarrenal derecha. Se diagnosticó aldosteronoma o síndrome de Conn con base en las concentraciones incrementadas de aldosterona sérica y tomografía axial computada abdominal que evidenció un tumor suprarrenal derecho.La paciente fue tratada con adrenalectomía laparoscópica y el estudio de patología confirmó un adenoma suprarrenal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT 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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Síndrome de Conn]]></kwd>
<kwd lng="es"><![CDATA[Hiperaldosteronismo]]></kwd>
<kwd lng="es"><![CDATA[hipocalemia]]></kwd>
<kwd lng="en"><![CDATA[Conn´s Syndrome]]></kwd>
<kwd lng="en"><![CDATA[hyperaldosteronism]]></kwd>
<kwd lng="en"><![CDATA[hypokalemia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Conn]]></surname>
<given-names><![CDATA[JW]]></given-names>
</name>
<name>
<surname><![CDATA[Louis]]></surname>
<given-names><![CDATA[LH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary aldosteronism: a new clinical entity]]></article-title>
<source><![CDATA[Trans Assoc Am Physicians]]></source>
<year>1955</year>
<volume>68</volume>
<page-range>215-31</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aronova]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Fahey]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
<name>
<surname><![CDATA[Zarnegar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Management of hypertension in primary aldosteronism]]></article-title>
<source><![CDATA[World J Cardiol.]]></source>
<year>2014</year>
<volume>6</volume>
<page-range>227-33</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Uresti-Flores]]></surname>
<given-names><![CDATA[EL]]></given-names>
</name>
<name>
<surname><![CDATA[Saucedo-Treviño]]></surname>
<given-names><![CDATA[LG]]></given-names>
</name>
<name>
<surname><![CDATA[Gámez-Barrera]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Melo]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Valdez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Conn]]></article-title>
<source><![CDATA[Med Int Méx.]]></source>
<year>2015</year>
<volume>31</volume>
<page-range>210-6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Diaz]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Contreras Zuñiga]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Síndrome de Conn: descripción de un caso clínico]]></article-title>
<source><![CDATA[Hipertension (Madr.)]]></source>
<year>2007</year>
<volume>24</volume>
<page-range>181-4</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ziaja]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Chudek]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Król]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Pawlicki]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Wiecek]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cierpka]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rare normalization of bloodpressure after unilateral adrenalectomy in 31 patients with Conn syndrome]]></article-title>
<source><![CDATA[Langenbecks Arch Surg]]></source>
<year>2007</year>
<volume>392</volume>
<page-range>431-5</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Edwin]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Raeder]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Trondsen]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Kaaresen]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Buanes]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Outpatient laparoscopic adrenalectomy in patients with Conn&#8217;s syndrome]]></article-title>
<source><![CDATA[Surg Endosc.]]></source>
<year>2001</year>
<volume>15</volume>
<page-range>589-91</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lingam]]></surname>
<given-names><![CDATA[RK]]></given-names>
</name>
<name>
<surname><![CDATA[Sohaib]]></surname>
<given-names><![CDATA[SA]]></given-names>
</name>
<name>
<surname><![CDATA[Rockall]]></surname>
<given-names><![CDATA[AG]]></given-names>
</name>
<name>
<surname><![CDATA[Isidori]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Chew]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Monson]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnostic performance of CT versus MR in detecting aldosterone-producing adenoma in primary hyperaldosteronism (Conn&#8217;s syndrome)]]></article-title>
<source><![CDATA[Eur Radiol.]]></source>
<year>2004</year>
<volume>14</volume>
<page-range>1787-92</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
