Subtotal adrenalectomy

2008 ◽  
Vol 95 (9) ◽  
pp. 1075-1076 ◽  
Author(s):  
R. Hardy ◽  
T. W. J. Lennard
Keyword(s):  
Subtotal Adrenalectomy

CUSHING'S SYNDROME FOLLOWING PARTIAL ADRENALECTOMY AND COMPLETE HYPOPHYSECTOMY

1965 ◽  
Vol 48 (4) ◽  
pp. 565-568 ◽  
Author(s):  
W. A. Sullivan ◽  
Jerrold D. Hydovitz ◽  
H. Rosomoff ◽  
T. S. Danowski
Keyword(s):  
Cushing’S Syndrome ◽  
Adult Male ◽  
Successful Treatment ◽  
Cushing's Syndrome ◽  
Partial Adrenalectomy ◽  
The Third ◽  
Subtotal Adrenalectomy ◽  
Pituitary Ablation ◽  
Acth Secreting

ABSTRACT A third episode of Cushing's syndrome developed in an adult male who had undergone subtotal adrenalectomy and then complete hypophysectomy in temporarily successful treatment of two earlier episodes. Judging from necropsy findings, this final recurrence was not the result of incomplete pituitary ablation or regeneration of pituitary remnants. Extrasellar pituitary or other ACTH secreting tissue could not be identified, but the patient's marked melanosis suggested its presence with consequent excesses of ACTH or MSH. However, irrespective of whether such excesses did or did not exist, it is clear that the third episode of Cushing's syndrome resulted from hyperfunction of the small adrenal remnant.

scholarly journals SUN-937 A Case of Two Pathologies: Primary Hyperaldosteronism with a History of Pheochromocytoma

2020 ◽  
Vol 4 (Supplement_1) ◽  
Author(s):  
Chukwuka Akamnonu ◽  
Sahil Parikh ◽  
Fredric Edward Wondisford
Keyword(s):  
Renal Cysts ◽  
Plasma Renin ◽  
Persistent Atrial Fibrillation ◽  
Normal Serum ◽  
Primary Hyperaldosteronism ◽  
Normal Range ◽  
Refractory Hypertension ◽  
Von Hippel Lindau ◽  
Subtotal Adrenalectomy ◽  
History Of

Abstract Background: In patients with system based diseases, multiple pathologies coexisting in the same organ can go undiagnosed. We present a case of a patient with long standing hypertension recently diagnosed with Primary hyperaldosteronism in the setting of known Pheochromocytoma. Case: A 43 year old male with a history of Von Hippel Lindau (VHL), Pheochromocytoma status post right subtotal adrenalectomy 18 years ago, renal cell carcinoma, prediabetes, bilateral renal cysts, and hypertension presented to the clinic for evaluation of suspected hyperaldosteronism. The patient had a history of medication refractory hypertension associated with hypokalemia requiring potassium supplementation. The patient’s VHL disease involved the pancreas, adrenal, brain and spine which required surgery to remove tumors in these areas. His Pheochromocytoma resolved status post subtotal adrenalectomy. Recent imaging and laboratory work up showed a stable left adrenal nodule (unchanged over the years), unremarkable right adrenal status post subtotal adrenalectomy with normal serum and urine metanephrines. In September 2019 he was seen by his Cardiologist for persistent Atrial Fibrillation and subsequent workup for suspected hyperaldosteronism showed a morning plasma aldosterone of 44.4ng/dL (normal range 4–21 ng/dL), plasma renin activity of <0.6 ng/ml/hr (normal range 0.6–4.3 ng/mL), 24 hour urine aldosterone of 21mcg/24hr (normal range 3–20 mcg/24hr), Urine sodium excretion of 236 mmol/24hr (normal range 40-217mmol/24hr), and potassium of 3.5mmol/L (normal range 3.6–5.0 mmol/L). The diagnosis of Primary hyperaldosteronism was confirmed and the patient was subsequently scheduled for adrenal venous sampling. Conclusion: This case demonstrates how multiple adrenal pathologies can present in the same individual. There is paucity of data in the literature as to the existence of both Pheochromocytoma and primary hyperaldosteronism in the same individual or the pathophysiological connection between them. When the diagnosis of a disease affecting a specific organ has already been made, the discovery of a secondary pathologic process affecting such organ may end up getting delayed. Clinicians should be aware of this possibility.

Importance of the Adrenal Gland Blood Supply During Laparoscopic Subtotal Adrenalectomy

2010 ◽  
Vol 20 (4) ◽  
pp. 311-315 ◽  
Author(s):  
Craig N. Parnaby ◽  
Norman Galbraith ◽  
Patrick J. O'Dwyer
Keyword(s):  
Adrenal Gland ◽  
Blood Supply ◽  
Subtotal Adrenalectomy

scholarly journals Subtotal adrenalectomy in the treatment of benign adrenal neoplasms

2019 ◽  
Vol 0 (5) ◽  
Author(s):  
O. B. Kutovyi ◽  
E. V. Zhmurenko ◽  
M. M. Shkura ◽  
L. V. Kriachkova
Keyword(s):  
Subtotal Adrenalectomy ◽  
Adrenal Neoplasms

scholarly journals SUBTOTAL ADRENALECTOMY IN THE TREATMENT OF PATIENTS WITH SEVERE ESSENTIAL HYPERTENSION*

1951 ◽  
Vol 134 (3) ◽  
pp. 351-360 ◽  
Author(s):  
Harold A. Zintel ◽  
Charles C. Wolferth ◽  
William A. Jeffers ◽  
Joseph H. Hafkenschiel ◽  
Francis D. W. Lukens
Keyword(s):  
Essential Hypertension ◽  
Subtotal Adrenalectomy

Long Term Follow-up of Cushing's Disease Treated with Reserpine and Pituitary Irradiation Followed by Subtotal Adrenalectomy.

1994 ◽  
Vol 172 (2) ◽  
pp. 97-109
Author(s):  
MASANORI MURAYAMA ◽  
KEIGO YASUDA ◽  
YOSHIAKI MINAMORI ◽  
LEILANI B. MERCADO-ASIS ◽  
NORIYOSHI YAMAKITA ◽  
...  
Keyword(s):  
Cushing’S Disease ◽  
Cushing's Disease ◽  
Subtotal Adrenalectomy ◽  
Long Term Follow Up ◽  
Pituitary Irradiation

Remission of Recurrent Hyperaldosteronism Resulting from Subtotal Adrenalectomy of Adenomatous Hyperplastic Adrenal Glands

1971 ◽  
Vol 33 (3) ◽  
pp. 474-480 ◽  
Author(s):  
TERUKAZU KAWASAKI ◽  
TERUO OMAE ◽  
KENZO TANAKA ◽  
MUNEO MATSUNAGA ◽  
KANICHI EMOTO
Keyword(s):  
Adrenal Glands ◽  
Subtotal Adrenalectomy
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