Incidentaloma (Conns’ syndrome) is a disease of the adrenal glands involving excess production of aldosterone & patient usually presents with clinical features of hypokalemia and hypertension. Atypical clinical presentations with combination of normotension and normokalemia are described in few cases. In this case report patient presented with abdominal pain and essential hypertension only. To rule out other pathology Ultrasonography was performed & underlying adrenal adenoma was found.
Keywords: Primary hyperaldosteronism, essential hypertension, Adrenal adenoma.
Introduction
An incidentaloma is a benign tumor found coincidentally without relevant clinical symptoms or suspicion, diagnosis of which has increased with increased use of modern imaging technology becoming …show more content…
The finding of adrenal incidentalomas (AI) is reported to be as high as 8% and 4% in autopsy series and in radiologic series respectively.1, 2 Primary hyperaldosteronism is the commonest form of endocrine hypertension and is now considered as most common cause of secondary hypertension3. It usually presents with features of hypokalemia like muscle cramps, weakness, tetany and severe or resistant arterial hypertension. However, there is a wide spectrum of presentation with clinical and biochemical variations in primary hyperaldosteronism. In particular, hypokalemia is not evident in upto one-third of cases and normotensive primary hyperaldosteronism is rare.4,5 Other than these variations, primary hyperaldosteronism presents rarely in emergency room with a catastrophic complaint posing a diagnostic dilemma.6 The consideration of size and radiographic appearance of the mass are of particular importance. Suspicious adrenal masses of ≥4 cm are advised surgical removal. Masses < 2%) with mild hypertension. The arterial
Keywords: Primary hyperaldosteronism, essential hypertension, Adrenal adenoma.
Introduction
An incidentaloma is a benign tumor found coincidentally without relevant clinical symptoms or suspicion, diagnosis of which has increased with increased use of modern imaging technology becoming …show more content…
The finding of adrenal incidentalomas (AI) is reported to be as high as 8% and 4% in autopsy series and in radiologic series respectively.1, 2 Primary hyperaldosteronism is the commonest form of endocrine hypertension and is now considered as most common cause of secondary hypertension3. It usually presents with features of hypokalemia like muscle cramps, weakness, tetany and severe or resistant arterial hypertension. However, there is a wide spectrum of presentation with clinical and biochemical variations in primary hyperaldosteronism. In particular, hypokalemia is not evident in upto one-third of cases and normotensive primary hyperaldosteronism is rare.4,5 Other than these variations, primary hyperaldosteronism presents rarely in emergency room with a catastrophic complaint posing a diagnostic dilemma.6 The consideration of size and radiographic appearance of the mass are of particular importance. Suspicious adrenal masses of ≥4 cm are advised surgical removal. Masses < 2%) with mild hypertension. The arterial