Document Detail


Hypertension due to co-existing paraganglioma and unilateral adrenal cortical hyperplasia.
MedLine Citation:
PMID:  18194911     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A rare case of combined unilateral adrenal hyperplasia and paraganglioma is reported. A 27-year-old woman presented with hypertension, palpitation, dizziness, and headache for about 3 months. Elevated plasma aldosterone with low renin and a high level of urine vanillylmandelic acid (VMA) were found. Computed tomography showed a microadenoma of the left adrenal gland and a well demarcated left retroperitoneal para-aortic mass. Adrenal vein sampling for aldosterone and renin levels suggested left adrenal lesion. Surgical removal of the left adrenal gland and para-aortic mass was performed. Pathologic examination of the resected left adrenal gland showed adrenal cortical hyperplasia and the left retroperitoneal para-aortic mass showed a paraganglioma. Postoperatively, blood pressure, plasma renin, aldosterone and urine VMA all returned to within normal ranges. The possible relationship of these two diseases is discussed.
Authors:
Kuo-Hsuan Chiang; Jer-Young Liou; Kou-Gi Shyu; Chung-Hsin Yeh; Chin-Chu Wu; Tong-Jong Chen; Huey-Ming Lo
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  106     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2008-01-15     Completed Date:  2008-02-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  1043-7     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adenoma / complications*,  pathology,  surgery
Adrenal Cortex Neoplasms / complications*,  pathology,  surgery
Adrenalectomy
Adult
Female
Humans
Hyperaldosteronism / complications*
Hypertension / etiology*
Paraganglioma, Extra-Adrenal / complications*,  pathology,  surgery
Pheochromocytoma / complications*,  pathology,  surgery
Retroperitoneal Neoplasms / complications*,  pathology,  surgery
Tomography, X-Ray Computed

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