The role of surgery in Conn’s syndrome – a case of refractory hypertension secondary to an aldosterone secreting adenoma

Keywords: Conn’s syndrome, refractory hypertension, aldosterone secreting adenoma

Abstract

Primary aldosteronism, eponymously known as Conn’s syndrome, has recently gained recognition as the most common cause of endocrine hypertension. Unilateral subtypes, such as aldosterone secreting adenomas, are managed surgically and are potentially curable. The background of refractory hypertension and hypokalaemia in a forty-year-old man raised suspicions of Conn’s syndrome which was localised to an aldosterone secreting adenoma in the right adrenal gland. The patient underwent a laparoscopic intraperitoneal right adrenalectomy which resulted in normalisation of his plasma aldosterone concentration as well as improved blood pressure control.

Author Biographies

M D Carides, Bertha Gxowa Hospital

Medical Outpatient Department, Bertha Gxowa Hospital, South Africa

N T Sishuba, Charlotte Maxeke Johannesburg Academic Hospital

Department of Surgery, Charlotte Maxeke Johannesburg Academic Hospital, South Africa

I Bombil, Chris Hani Baragwanath Academic Hospital

Department of Surgery, Chris Hani Baragwanath Academic Hospital, South Africa

C Christofides, Chris Hani Baragwanath Academic Hospital

Department of Surgery, Chris Hani Baragwanath Academic Hospital, South Africa

Published
2021-09-10
How to Cite
Carides, M., Sishuba, N., Bombil, I., & Christofides, C. (2021). The role of surgery in Conn’s syndrome – a case of refractory hypertension secondary to an aldosterone secreting adenoma. South African Journal of Surgery, 59(3), 131. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/3609
Section
Case Reports