case of primary aldosteronism related to unilateral adenoma

ABSTRACT

A case of middle aged Omani female who presented with chronic refractory hypertension and recently observed spontaneous hypokalemia, thus raising the suspicion of primary aldosteronism, is presented. She underwent endocrine testing and CT scanning which demonstrated a right adrenal aldosterone secreting adenoma. She improved remarkly after adrenalectomy and required only a small dose of lisinopril to control the blood pressure. Establishing the diagnosis of primary aldosteronism is important because hypertension and metabolic disturbances are potentially curable