A case of primary aldosteronism with hypokalemia and headache treated by laparoscopic adrenalectomy

Abstract

Primary aldosteronism (PA) is a common cause for secondary hypertension, affecting up to 5-10% of the hypertensive population. Sustained hyperaldosteronism can lead to cerebrovascular, cardiovascular and renal complications. We present a case of a 43-year-old man with hypokalemia and headache. CT imaging of the adrenal glands and adrenal venous sampling (AVS) were performed, and he was diagnosed with aldosterone-producing adenoma in the left adrenal. The patient was treated with laparoscopic adrenalectomy. Appropriate primary care and a following detailed examination may help to make an early diagnosis and to determine suitable therapy.