Recurrence of primary aldosteronism after percutaneous ethanol injection

Fan Chi Chang, Kao Lang Liu, Kuo How Huang, Vin Cent Wu, Yen Hung Lin, Yung Ming Chen, Kwan Dun Wu

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Adrenalectomy is the definite treatment for aldosterone-producing adenoma (APA). Percutaneous ethanol or acetic acid injection with computed tomography (CT) guidance has been described as a safe, noninvasive, and effective alternative treatment modality in patients with high surgical risk. We report on a man who was 49 years of age and presented with treatment-resistant hypertension and was later diagnosed with APA. CT-guided percutaneous ethanol injection (PEI) was performed for this high surgical risk patient. He had aldosteronism recurrence 4 years after the ethanol injection, so a second PEI was performed. The tumor size was reduced and his blood pressure was normalized. Therefore, we suggest that clinicians should closely check aldosterone to renin ration and potassium level if percutaneous chemical ablation is considered in functioning adrenal adenomas.

Original languageEnglish
Pages (from-to)176-178
Number of pages3
JournalJournal of the Formosan Medical Association = Taiwan yi zhi
Volume111
Issue number3
DOIs
Publication statusPublished - Mar 2012
Externally publishedYes

Keywords

  • Adrenal adenoma
  • Aldosterone-producing adenoma
  • Percutaneous ethanol injection
  • Primary aldosteronism

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Chang, F. C., Liu, K. L., Huang, K. H., Wu, V. C., Lin, Y. H., Chen, Y. M., & Wu, K. D. (2012). Recurrence of primary aldosteronism after percutaneous ethanol injection. Journal of the Formosan Medical Association = Taiwan yi zhi, 111(3), 176-178. https://doi.org/10.1016/j.jfma.2012.01.009