Primary hyperaldosteronism as a reason of malignant, resistant hypertension in forty-years old women, treated by laparoscopic resection of adrenal tumor

Abstract

Primary hyperaldosteronism is one of the rarest causes of secondary hypertension. Idiopathic bilateral adrenal hyperplasia and aldosterone-producing adrenal adenoma are the leading causes of primary hyperaldosteronism. In this article the case of a 40-year-old woman, suffering for few months from pharmacologically resistant hypertension, is reported. The diagnostic process revealed an adrenal adenoma. If lateralization is confirmed, the unilateral adrenalectomy is the best therapeutic option, leading to a significant reduction of blood pressure and even to normotension.