Primary aldosteronism in pregnancy.

J Matsumoto, H Miyake, T Isozaki, T Koshino, T Araki

Journal: Journal of Nippon Medical School = Nippon Ika Daigaku zasshi 2000;67(4):275-9

PMID: 10938597

Free Full Text on J-STAGE, Japan Science and Technology Information Aggregator, Electronic View on PubMed

Abstract

Aldosteronism is a rare complication of pregnancy. We report a case of a 26-year-old woman who became pregnant soon after a diagnosis of primary aldosteronism due to left adrenal adenoma was made. Only oral potassium supplementation was required in addition to routine prenatal care until 36 weeks' gestation. Subsequently, antihypertensive medication was needed to control elevated blood pressure. A healthy male infant was delivered by cesarean section because of abruptio placentae. The postoperative course was uneventful. Left adrenalectomy was conducted eight months after delivery under laparoscopic visualization. In this case report, we discuss management of aldosteronism in pregnancy and review the literature.

Address: Ishikawa Hospital, Urawa City, Saitama.

DOI: 10.1272/jnms.67.275

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MeSH Terms: Abruptio Placentae, Adenoma, Adrenal Gland Neoplasms, Adrenalectomy, Adult, Cesarean Section, Female, Humans, Hyperaldosteronism, Hypertension, Infant, Newborn, Laparoscopy, Male, Potassium, Dietary, Pregnancy, Pregnancy Complications, Pregnancy Outcome