Primary hyperaldosteronism associated to an adrenal neoplasia. Case report

Descripción del Articulo

We report the case of a 68-year-old male with a history of non-treated arterial hypertension diagnosed the previous year that was admitted with anasarca, muscle weakness and dyspnea at rest. The first laboratory exams showed severe hypopotassemia, metabolic alkalosis, renal and gallbladder lithiasis...

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Detalles Bibliográficos
Autores: Bravo-Zúñiga, Jessica, Neira-Sánchez, Elsa
Formato: artículo
Fecha de Publicación:2023
Institución:Universidad Peruana Cayetano Heredia
Repositorio:Revistas - Universidad Peruana Cayetano Heredia
Lenguaje:español
OAI Identifier:oai:revistas.upch.edu.pe:article/4407
Enlace del recurso:https://revistas.upch.edu.pe/index.php/RMH/article/view/4407
Nivel de acceso:acceso abierto
Materia:Hipopotasemia
nefrolitiasis
aldosterona
Hypokalemia
nephrolithiasis
aldosterone
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spelling Primary hyperaldosteronism associated to an adrenal neoplasia. Case reportHiperaldosteronismo primario asociado a neoplasia adrenal. Reporte de casoBravo-Zúñiga, JessicaNeira-Sánchez, ElsaHipopotasemianefrolitiasisaldosteronaHypokalemianephrolithiasisaldosteroneWe report the case of a 68-year-old male with a history of non-treated arterial hypertension diagnosed the previous year that was admitted with anasarca, muscle weakness and dyspnea at rest. The first laboratory exams showed severe hypopotassemia, metabolic alkalosis, renal and gallbladder lithiasis and chronic renal disease. The abdominal tomography revealed a right suprarenal tumor, bilateral hydronephrosis and renal and gallbladder lithiasis. Under the suspicion of primary hyperaldosteronism, the diagnosis was confirmed with the determination of the relationship between aldosterone/direct renin concentration, which was high. The metabolic study showed hypercalciuria and hyperuricosuria and the potassium trans tubular gradient was above 7. The patient underwent right nephrectomy, nonetheless, died at the immediate post-operatory period due to a hypovolemic shock and respiratory failure.Se describe el caso de un varón de 68 años con antecedente de hipertensión arterial no tratada, diagnosticada un año antes, que ingresó con un cuadro de anasarca, debilidad muscular y disnea al reposo. Los primeros exámenes realizados mostraron hipopotasemia severa, alcalosis metabólica, litiasis renal y vesical y enfermedad renal crónica.  La tomografía abdominal reveló una tumoración suprarrenal derecha, hidronefrosis bilateral y litiasis renal y vesical. Con la sospecha de hiperaldosteronismo primario se completó el estudio, con la determinación de relación aldosterona/concentración de renina directa, que resultó alta. El estudio metabólico arrojó hipercalciuria e hiperuricosuria y la gradiente transtubular de potasio mayor de 7. El paciente fue sometido a tratamiento quirúrgico con nefrectomía derecha, sin embargo, falleció en el postoperatorio inmediato, por shock hipovolémico e insuficiencia respiratoria.   Universidad Peruana Cayetano Heredia2023-01-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed articleArtículo evaluado por paresapplication/pdfhttps://revistas.upch.edu.pe/index.php/RMH/article/view/440710.20453/rmh.v33i4.4407Revista Médica Herediana; Vol. 33 No. 4 (2022): October-December; 277-283Revista Médica Herediana; Vol. 33 Núm. 4 (2022): Octubre-Diciembre; 277-283Revista Medica Herediana; v. 33 n. 4 (2022): Octubre-Diciembre; 277-2831729-214X1018-130Xreponame:Revistas - Universidad Peruana Cayetano Herediainstname:Universidad Peruana Cayetano Herediainstacron:UPCHspahttps://revistas.upch.edu.pe/index.php/RMH/article/view/4407/4938Derechos de autor 2023 Jessica Bravo-Zúñiga, Elsa Neira-Sánchezinfo:eu-repo/semantics/openAccessoai:revistas.upch.edu.pe:article/44072023-08-15T17:50:18Z
dc.title.none.fl_str_mv Primary hyperaldosteronism associated to an adrenal neoplasia. Case report
Hiperaldosteronismo primario asociado a neoplasia adrenal. Reporte de caso
title Primary hyperaldosteronism associated to an adrenal neoplasia. Case report
spellingShingle Primary hyperaldosteronism associated to an adrenal neoplasia. Case report
Bravo-Zúñiga, Jessica
Hipopotasemia
nefrolitiasis
aldosterona
Hypokalemia
nephrolithiasis
aldosterone
title_short Primary hyperaldosteronism associated to an adrenal neoplasia. Case report
title_full Primary hyperaldosteronism associated to an adrenal neoplasia. Case report
title_fullStr Primary hyperaldosteronism associated to an adrenal neoplasia. Case report
title_full_unstemmed Primary hyperaldosteronism associated to an adrenal neoplasia. Case report
title_sort Primary hyperaldosteronism associated to an adrenal neoplasia. Case report
dc.creator.none.fl_str_mv Bravo-Zúñiga, Jessica
Neira-Sánchez, Elsa
author Bravo-Zúñiga, Jessica
author_facet Bravo-Zúñiga, Jessica
Neira-Sánchez, Elsa
author_role author
author2 Neira-Sánchez, Elsa
author2_role author
dc.subject.none.fl_str_mv Hipopotasemia
nefrolitiasis
aldosterona
Hypokalemia
nephrolithiasis
aldosterone
topic Hipopotasemia
nefrolitiasis
aldosterona
Hypokalemia
nephrolithiasis
aldosterone
description We report the case of a 68-year-old male with a history of non-treated arterial hypertension diagnosed the previous year that was admitted with anasarca, muscle weakness and dyspnea at rest. The first laboratory exams showed severe hypopotassemia, metabolic alkalosis, renal and gallbladder lithiasis and chronic renal disease. The abdominal tomography revealed a right suprarenal tumor, bilateral hydronephrosis and renal and gallbladder lithiasis. Under the suspicion of primary hyperaldosteronism, the diagnosis was confirmed with the determination of the relationship between aldosterone/direct renin concentration, which was high. The metabolic study showed hypercalciuria and hyperuricosuria and the potassium trans tubular gradient was above 7. The patient underwent right nephrectomy, nonetheless, died at the immediate post-operatory period due to a hypovolemic shock and respiratory failure.
publishDate 2023
dc.date.none.fl_str_mv 2023-01-24
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed article
Artículo evaluado por pares
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://revistas.upch.edu.pe/index.php/RMH/article/view/4407
10.20453/rmh.v33i4.4407
url https://revistas.upch.edu.pe/index.php/RMH/article/view/4407
identifier_str_mv 10.20453/rmh.v33i4.4407
dc.language.none.fl_str_mv spa
language spa
dc.relation.none.fl_str_mv https://revistas.upch.edu.pe/index.php/RMH/article/view/4407/4938
dc.rights.none.fl_str_mv Derechos de autor 2023 Jessica Bravo-Zúñiga, Elsa Neira-Sánchez
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Derechos de autor 2023 Jessica Bravo-Zúñiga, Elsa Neira-Sánchez
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidad Peruana Cayetano Heredia
publisher.none.fl_str_mv Universidad Peruana Cayetano Heredia
dc.source.none.fl_str_mv Revista Médica Herediana; Vol. 33 No. 4 (2022): October-December; 277-283
Revista Médica Herediana; Vol. 33 Núm. 4 (2022): Octubre-Diciembre; 277-283
Revista Medica Herediana; v. 33 n. 4 (2022): Octubre-Diciembre; 277-283
1729-214X
1018-130X
reponame:Revistas - Universidad Peruana Cayetano Heredia
instname:Universidad Peruana Cayetano Heredia
instacron:UPCH
instname_str Universidad Peruana Cayetano Heredia
instacron_str UPCH
institution UPCH
reponame_str Revistas - Universidad Peruana Cayetano Heredia
collection Revistas - Universidad Peruana Cayetano Heredia
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1842351753920512000
score 13.023852
Primary hyperaldosteronism associated to an adrenal neoplasia. Case report
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