Coincidence of Large Adrenal Cyst and Prominent Hyporeninemic Hyperaldosteronism | Zendy

Takaaki Sakaue | Zendy; Yosuke Okuno | Zendy; Kosuke Mukai | Zendy; Shingo Fujita | Zendy; Junji Kozawa | Zendy; Hitoshi Nishizawa | Zendy; Taka-aki Matsuoka | Zendy; Hiromi Iwahashi | Zendy; Norikazu Maeda | Zendy; Yuto Yamazaki | Zendy; Hironobu Sasano | Zendy; Michio Otsuki | Zendy; Iichiro Shimomura | Zendy

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Coincidence of Large Adrenal Cyst and Prominent Hyporeninemic Hyperaldosteronism

Author(s) -

Takaaki Sakaue,

Yosuke Okuno,

Kosuke Mukai,

Shingo Fujita,

Junji Kozawa,

Hitoshi Nishizawa,

Taka-aki Matsuoka,

Hiromi Iwahashi,

Norikazu Maeda,

Yuto Yamazaki,

Hironobu Sasano,

Michio Otsuki,

Iichiro Shimomura

Publication year - 2021

Publication title -

case reports in endocrinology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.26

H-Index - 6

eISSN - 2090-6501

pISSN - 2090-651X

DOI - 10.1155/2021/8860498

Subject(s) - medicine , hyperaldosteronism , pathological , primary aldosteronism , pathology , kidney , adrenal gland , aldosterone

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.

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