An adverse pregnancy-associated outcome due to overlooked primary aldosteronism

Kazuo Eguchi, Satoshi Hoshide, Shuichi Nagashima, Takashi Maekawa, Hironobu Sasano, Kazuomi Kario

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

A 31-year-old woman with treatment-resistant pregnancy-induced hypertension during her first pregnancy delivered a small-for-gestational-age infant (weight: 1,070 g). After delivery, she was diagnosed with primary aldosteronism (PA) associated with a left adrenal adenoma. Following a thorough examination, she underwent laparoscopic left adrenalectomy, and the diagnosis of an aldosterone-producing adenoma was confirmed based on a pathological examination. Thereafter, the patient’s hypertension and hypokalemia completely disappeared. She became pregnant again and successfully delivered her second infant at the 37th week of gestation (weight: 2,720 g) without developing treatment-resistant hypertension. Secondary causes of hypertension should not be overlooked, even in young pregnant women.

Original languageEnglish
Pages (from-to)2499-2504
Number of pages6
JournalInternal Medicine
Volume53
Issue number21
DOIs
Publication statusPublished - 2014
Externally publishedYes

Keywords

  • Pregnancy-induced hypertension
  • Primary aldosteronism
  • Small-for-gestational-age infant

ASJC Scopus subject areas

  • Internal Medicine

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