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Fortuitous Hormonal Ablation of Adrenal Aldosteronoma due toa Complication, Adrenal Venous Infarction by Adrenal Venographyduring Adrenal Vein Sampling: Case Report
http://hdl.handle.net/10232/8597
http://hdl.handle.net/10232/859723fbcf59-68b0-4011-a239-85ab0cb471bc
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
60(3)_1_I.pdf (2.1 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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| 公開日 | 2010-01-21 | |||||
| タイトル | ||||||
| タイトル | Fortuitous Hormonal Ablation of Adrenal Aldosteronoma due toa Complication, Adrenal Venous Infarction by Adrenal Venographyduring Adrenal Vein Sampling: Case Report | |||||
| タイトル言語 | en | |||||
| 著者 |
IKENOUE, Aya
× IKENOUE, Aya× BABA, Yasutaka× HAYASHI, Sadao× TANABE, Hiroaki× NAKAJO, Masayuki |
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| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | adrenal gland | |||||
| キーワード | ||||||
| 主題言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | adrenal vein sampling | |||||
| キーワード | ||||||
| 主題言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | aldosteronoma | |||||
| キーワード | ||||||
| 主題言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | complication | |||||
| キーワード | ||||||
| 主題言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | primary aldosteronism | |||||
| キーワード | ||||||
| 主題言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | venography | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 要約 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | A 61-year-old woman was admitted to our Department for examination of uncontrollable hypertension. An aldosteroneproducing adenoma (aldosteronomas) was suspected based on her hypertension, low plasma renin activity and a right adrenal mass on CT, although plasma and urinary aldosterone levels were within normal ranges. Because of the ambiguous hormonal results, we performed adrenal vein sampling including bilateral adrenal veins and the inferior vena cava. The results of aldosterone and cortisol levels of the blood samples reported later confirmed an aldosteronomas in the right adrenal gland. Immediately after the second right adrenal venography after successful sampling followed by the first uneventful right venography, the patient complained of back pain and CT revealed the swollen right adrenal gland with high density, suggesting a complication of intra-adrenal hemorrhagic venous infarction. Thereafter, her hypertension improved, plasma aldosterone levels decreased to a lower normal limit, and plasma renin activity returned to a normal range. CT obtained 3 months later and adrenocortical scintigraphy performed 6 months later revealed that most of the aldosteronoma was necrotic. During the 9-months follow-up period, hormonal ablation of the aldosteronoma was maintained. Although hormonal ablation of the aldosteronoma was fortuitously obtained in our case, adrenal venography should be performed with meticulous care and after confirmation of smooth blood flow into the syringe connected with the catheter by pulling the plunger. Manual injection of the contrast medium into the adrenal vein should be made as gentle and slow as possible to avoid complications, especially in case of prolonged wedge of the catheter tip in the adrenal vein. |
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| 内容記述言語 | en | |||||
| 収録雑誌名 |
ja : 鹿児島大学医学雑誌 en : Medical journal of Kagoshima University 巻 60, 号 3, p. 65-71, 発行日 2009 |
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| 作成日 | ||||||
| 日付 | 2009-01-01 | |||||
| 日付タイプ | Issued | |||||
| ISSN | ||||||
| 収録物識別子タイプ | PISSN | |||||
| ISSN | 03685063 | |||||
| NII書誌ID（雑誌） | ||||||
| 収録物識別子タイプ | NCID | |||||
| NC ID | AN00040104 | |||||
| 出版タイプ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| NDC | ||||||
| 主題Scheme | NDC | |||||
| 主題 | 490 | |||||
| 公開者・出版者 | ||||||
| 出版者 | 鹿児島大学 | |||||
| 出版者言語 | ja | |||||
| 公開者・出版者 | ||||||
| 出版者 | Kagoshima University | |||||
| 出版者言語 | en | |||||
