Hipertensión arterial mal controlada secundaria a quiste vascular suprarrenal
- D. García Escudero 1
- J. Oñate Celdrán 1
- M. Torres Roca 1
- M.E. Hernández Contreras 1
- C. Sánchez Rodríguez 1
- 1 Hospital General Universitario Reina Sofía, Murcia, España
ISSN: 1889-1837
Year of publication: 2018
Volume: 35
Issue: 1
Pages: 37-40
Type: Article
More publications in: Hipertensión y riesgo vascular
Abstract
Hypertension is a prevalent disease in developed countries. Adrenal masses, and especially adrenal cysts, are a rare and usually asymptomatic finding, which can go unnoticed or be detected as incidental findings in imaging tests. These circumstances make the multidisciplinary approach mandatory. The case is presented on a 72 year-old woman with uncontrolled high blood pressure referred to the Urology Department due to the incidental finding of a right retroperitoneal mass. A functional and imaging study was performed, establishing a diagnosis of adrenal cyst causing hypertensive symptoms. A literature search was performed in order to assess diagnostic and therapeutic approaches. With the diagnosis of adrenal cyst causing uncontrolled high blood pressure, a right laparoscopic adrenalectomy was performed. After surgery the patient has maintained blood pressure within the normal range. A multidisciplinary approach is necessary for the management of rare diseases. The surgical approach, if possible, should be laparoscopic