Síndrome de Conn: presentación de un caso

Abstract

A 33-year-old female, whith arterial hypertension since she was 17 years old, however, antihypertensive treatment was started until she was 33 years old, with a history of two pregnancies without a history of preeclampsia, who was referred to the third level of care due to hypertension resistant to treatment, referring to occasional headache , morning peripheral edema and self-limited palpitations, as well as mild and intermittent hypokalemia go after the patient was found on treatment with hydrochlorothiazide. Due to the high index of clinical suspicion of primary hyperaldosteronism, screening was carried out with the aldosterone/renin ratio, which was reported to be between 29.2 and 36.7 at rest and standing, correspondingly associated with a computed tomography of the abdomen in which a nodular image was reported in the left adrenal glands. , being highly suggestive of an aldosterone-producing adenoma. It was decided to perform left adrenalectomy with biopsy, which reported a yellow adrenal gland mass and heterogeneous appearance consistent with a left cortical adenoma.