Síndrome de Conn y su manejo laparoscópico

Abstract

High blood pressure is one of the most frequent pathologies in the general population and is estimated to affect approximately 26% of the world population. Hypertensive patients have greater morbidity and mortality due to stroke, acute coronary syndromes, and heart failure. The excessive production of aldosterone caused by primary aldosteronism is one form of high blood pressure that can be cured. Laparoscopic adrenalectomy is the criterion standard for the approach to the adrenal gland, reducing the morbidity and mortality of that procedure. High blood pressure is reported to reach normal figures at an average of 6 months in 30-90% of the patients. Presented herein is the case of a female patient with primary aldosteronism. Diagnosis was made by determining renin and aldosterone levels and through tomography studies with and without contrast. A hyper-secreting adenoma was found and laparoscopic adrenalectomy was performed. Interdisciplinary management is recommended for ruling out multiple pathologies that condition high blood pressure of adrenal gland origin. Such management leads to efficacious medical treatment and laparoscopic adrenalectomy can then be performed.