期刊
KIDNEY RESEARCH AND CLINICAL PRACTICE
卷 35, 期 4, 页码 255-258出版社
ELSEVIER INC
DOI: 10.1016/j.krcp.2016.05.002
关键词
Adrenalectomy; Chronic kidney disease; Glomerular filtration rate; Primary aldosteronism
资金
- Pusan National University Hospital
We report 2 cases of chronic estimated glomerular filtration rate (eGFR) decline after unilateral adrenalectomy due to primary aldosteronism. The patients were diagnosed with unilateral adrenal cortical adenoma releasing aldosterone. Two patients were examined for hypertension and hypokalemia. Unilateral laparoscopic adrenalectomy was performed in both cases, and pathology confirmed adrenal cortical adenoma. After adrenalectomy, hypertension and hypokalemia improved to within normal range. However, the eGFR decreased postoperatively, and abdominal computed tomography scan showed decreased kidney size compared to previous images. Kidney biopsy was performed to delineate the exact cause of renal function deterioration and revealed hypertensive changes with chronic interstitial changes, indicating that glomerular hyperfiltration with aldosterone excess masked renal function damage. Physicians have to consider the probability of postadrenalectomy eGFR decline related to chronic hypertensive change. Copyright (C) 2016. The Korean Society of Nephrology. Published by Elsevier.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据