Síndrome de Conn y su manejo laparoscópico

Padilla-Piña, J.; Arriaga-Aguilar, J.; García-Vásquez, R.A.; Razo-Garcia, A.; Garcia-Martinez, F.E.; López-Chente-Casado, J.; Zárate-Morales, Á.; Gerardo-Osuna, I.; Plata, María del Carmen Candía; García-Díaz, Ma. T.; Vazquez-Galves, A.; García-López, Isabel

doi:10.1016/j.uromx.2016.05.002

Cited by 1 publication

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“…La HTA es debida a una producción excesiva de aldosterona que a nivel renal induce un aumento en la reabsorción de sodio y agua, lo que se traduce en un incremento del volumen intravascular y, secundariamente, en una elevación de la presión arterial [6]. Se diag-nostica con más frecuencia a la edad de 30 a 60 años, con predominio en el género femenino, con una relación 1.5:1 [7]. En muchas ocasiones es completamente asintomático y la única forma de pre-sentación es una hipertensión refractaria.…”

Section: Discussionunclassified

Suprarrenalectomia Derecha Laparoscópica Por Síndrome De Conn

García-Vico¹,

Gómez²,

Lorente-Herce³

2020

Ann Mediterr Surg

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Introduction: adrenal adenomas are benign tumors that may have hormone hiperproduction. Conn`s Syndrome is cause of secondary arterial hypertension due to excessive production of aldosterone conducting to primary hiperaldosteronism.Clinical case: a 52-year-old female with a 4 year history of hypertension with poor control despite medication during the last 2 months. Secondary HTA was suspected son the patient was investiga-ted: High levels of aldosterone were found on blood analisis. The CT scan showed a right adrenal mass. Given this suspicion, a right laparoscopic adrenalectomy was performed. The patient was discharged at 24h after intervention without any complications.Conclusion: in the case of primary hyperaldosteronism, surgery implies a possibility near 100% of controlling hypertension with medication and a possibility of cure of between 30-60%. Laparosco-pic acces is nowadays the gold standard.

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Section: Discussionunclassified