Author/Editor		Kukman, Sara; Šmid, Tina; Kocjan, Tomaž
Title		Poti in stranpoti pri diagnosticiranju primarnega aldosteronizma
Translated title		Pathways and dead ends in the diagnostics of primary aldosteronism
Type		članek
Vol. and No.		Letnik 88, št. 1/2
Publication year		2019
Volume		str. 61-70
ISSN		1318-0347 - Zdravniški vestnik : glasilo Slovenskega zdravniškega društva : Slovenian medical journal
Language		slv
Abstract		We present a patient with a tumour of the left adrenal gland who has been treated for resistant hypertension and hypokalaemia for years. Primary aldosteronism was confirmed, but despite multiple attempts at adrenal vein sampling we were unable to prove unilateral disease. Treatment with mineralocorticoid receptor antagonists was not successful, however no clear indication for surgical treatment was present. Patient's clinical and laboratory characteristics pointed to unilateral disease, so he was referred for PET CT with 11-C-metomidate in the United Kingdom. Unilateral disease was confirmed, and the patient was cured by left-sided laparoscopic adrenalectomy.
Keywords		adenom skorje nadledvičnice primarni hiperaldosteronizem arterijska hipertenzija adrenocortical adenoma primary hyperaldosteronism hypertension