Sánchez ARA, Sosa LAJ, Ramírez BCNA, Farell RJ, Cuevas OVJ

Language: Spanish
References: 5
Page: 151-154
PDF size: 234.82 Kb.

ABSTRACT

The adrenal adenoma is a rare aldosterone producing tumor characterized mainly by hypertension with poor response to medical treatment and hydroelectrolytic imbalance more common in women 30-60 years of age. Exclusion of other pathological conditions may lead to its diagnosis, also by high blood aldosterone/renin ratio determination and CT scan or MRI confirmation. This condition is treated with adrenalectomy. With the advent of laparoscopy, it has become the standard surgical technique for adrenal gland resection. This has created new controversies on regards to a retro or trans peritoneal approach. And the relevance of tumor size and its potential for malignancy. This is a 69 years old male with an unresponsive to medical treatment hypertension due to a primary hyperaldosteronism caused by a unilateral adrenal tumor (Conn ayndrome). Managed via retro peritoneal endoscopic approach with good results in terms of postoperative symptoms and complications secondary to the endoscopic procedure. Conclusion: Retro peritoneal endoscopic adrenalectomy is a safe surgical procedure with a low morbidity and mortality, therefore it should be the main choice of treatment for the minimum invasive surgeon as long as he has the skills and expertise to perform this procedure.

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