Thursday, 30 June 2022

Hypertension after Adrenalectomy in a Patient with Aldosterone-producing Adenoma | Chapter 13 | Current Practice in Medical Science Vol. 3

A 52-year-old Bangladeshi patient who had received a hypertension diagnosis the previous year was using oral antihypertensives. He received therapy, but his blood pressure continued to be out of control with no symptoms.

According to test findings, the patient was identified as having primary aldosteronism. His lab values, which were as follows, led to this conclusion: 320 ng/L of aldosterone, 2.55 ng/L of renin, and 5.2 mmol/L of potassium. The MRI's findings indicated a left adrenal adenoma. Along the largest TS, AP, and CC dimensions, a focal lesion with an oblong form of 14 x 10.4 x 10.8 mm was discovered. This lesion, which exhibited low to moderate signal strength on all provided sequences and signal dropout out of the phase sequence, was associated with the inferior part of the left adrenal gland lateral limb. Additionally, there was barely any peripheral contrast enhancement in the photos from after the contrast delivery.

This resulted in an immediate referral to the surgical department, where the patient was examined and successfully operated upon within a week.

The examination, diagnosis, and postoperative treatment of a patient who arrived at the hospital unaware that he had a tumour in his adrenal glands are the main topics of this report. Finally, it describes how the patient's post-operative symptoms were handled right away to prevent complications. This essay tries to explain and detail the effects of adrenalectomy in a patient who had an adenoma in the past, but after receiving treatment for it, ended up having hypertension. The intention is to warn the surgeon and the doctor that these outcomes could happen in their respective clinical contexts. Such issues might only be avoided by continual assessment and prompt consultations.

The goal of this article is to educate doctors and surgeons about potential issues that might manifest as unresolved or new chronic diseases in patients who have already experienced them or who have acquired them as a result of surgery, so that proper preventative measures can be taken.

Author(s) Details:

Ashraf Alakkad,
Department of Internal Medicine, Madinat Zayed Hospital, UAE.

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