Coincidence of Large Adrenal Cyst and Prominent Hyporeninemic Hyperaldosteronism.
Takaaki SakaueYosuke OkunoKosuke MukaiShingo FujitaJunji KozawaHitoshi NishizawaTaka-Aki MatsuokaHiromi IwahashiMaeda NorikazuYuto YamazakiHironobu SasanoMichio OtsukiIichiro ShimomuraPublished in: Case reports in endocrinology (2021)
A 67-year-old Japanese woman who had end-stage renal disease was referred to our hospital for kidney transplantation. Abdominal CT revealed a large adrenal mass with inhomogeneity. She had a history of hospitalization for stroke and heart failure and exhibited prominent hyporeninemic hyperaldosteronism. Histological examination of the resected tumor with anti-CYP11B2 antibody indicated that she had a vascular endothelial cyst with primary aldosteronism (PA) due to multiple adrenocortical micronodules. This report implicates the pathological interaction between adrenal vascular cysts and PA-mediated vascular damage of the adrenal vein.
Keyphrases
- kidney transplantation
- end stage renal disease
- heart failure
- chronic kidney disease
- peritoneal dialysis
- atrial fibrillation
- computed tomography
- healthcare
- left ventricular
- endothelial cells
- lymph node
- emergency department
- single cell
- magnetic resonance
- contrast enhanced
- cardiac resynchronization therapy
- prognostic factors