Abstract

BENITEZ RIOS, Hugo Javier; NUNEZ GUERRERO, Iván Alberto; SILVERO PRIETO, Sol Thalía  and  FERNANDEZ GONZALEZ, Daniel. Surgical management of primary hyperaldosteronism: a case of laparoscopic adrenalectomy in a young woman. Rev. cient. cienc. salud [online]. 2026, vol.8, e8909.  Epub Jan 30, 2026. ISSN 2664-2891.  https://doi.org/10.53732/rccsalud/e8909.

Primary hyperaldosteronism (PHA) due to an adrenal adenoma is a curable cause of hypertension. We present the case of a 34-year-old woman with a history of preeclampsia and refractory hypertension who presented with palpitations and was diagnosed with PHA. Imaging studies revealed a left adrenal mass consistent with an adenoma. The patient underwent laparoscopic left adrenalectomy, a minimally invasive procedure; pathology confirmed a cortical adenoma. Postoperatively, complete resolution of hypokalemia and significant blood pressure control were observed, allowing discontinuation of antihypertensive medication. This case highlights the success of laparoscopic adrenalectomy as the most appropriate treatment for unilateral PHA and underscores the importance of timely diagnosis and a multidisciplinary approach.

Keywords : hyperaldosteronism; adrenocortical adenoma; adrenalectomy; hypertension; hypokalemia; laparoscopy.

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