Primary Aldosteronism Presenting with Hypertension Five Days after Delivery: A Case Report and Literature Review

A 35-year-old Japanese woman with no history of hypertension developed hypertension 5 days after normal delivery. Endocrinological and radiological examinations indicated primary aldosteronism (PA) and a 1.4-cm left adrenal tumor. The patient underwent laparoscopic adrenalectomy, and a diagnosis of...

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Bibliographic Details
Published in:Internal Medicine 2022/02/15, Vol.61(4), pp.507-512
Main Authors: Ohara, Nobumasa, Kobayashi, Michi, Yoneoka, Yuichiro, Hasegawa, Go, Aoki, Yayoi, Nakamura, Yasuhiro, Kazama, Yoshiki, Nishiyama, Tsutomu
Format: Article
Language:English
Subjects:
Adenoma
Adrenal Gland Neoplasms - complications
Adrenalectomy
Adrenocortical Adenoma - complications
Adult
Aldosterone
aldosterone-producing adenoma
Blood levels
Blood pressure
Case Report
Female
Humans
Hyperaldosteronism - complications
Hyperaldosteronism - diagnosis
Hypertension
Hypertension - etiology
Hypertension - surgery
immunohistochemistry
Internal medicine
Laparoscopy
Literature reviews
Postpartum
Pregnancy
Tumors
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Summary:A 35-year-old Japanese woman with no history of hypertension developed hypertension 5 days after normal delivery. Endocrinological and radiological examinations indicated primary aldosteronism (PA) and a 1.4-cm left adrenal tumor. The patient underwent laparoscopic adrenalectomy, and a diagnosis of aldosterone-producing adenoma was confirmed immunohistochemically. Her plasma aldosterone concentration and blood pressure normalized. Cases of PA presenting with hypertension in the postpartum period have been reported. This case suggests that PA should be considered in women with postpartum hypertension, especially in those with blood pressure that suddenly increases shortly after delivery, even if they were normotensive before and throughout pregnancy.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.7778-21