Journal
CASE REPORTS IN ENDOCRINOLOGY
Volume 2021, Issue -, Pages -Publisher
HINDAWI LTD
DOI: 10.1155/2021/8860498
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A 67-year-old Japanese woman with end-stage renal disease was found to have a large adrenal mass with inhomogeneity, suggesting complex etiology related to hyperaldosteronism. This case report highlights the pathological interaction between adrenal vascular cysts and primary aldosteronism.
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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