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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Surg+Case+Rep
2025 ; 2025
(6
): rjaf446
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Persistent hypokalemia due to Conn s syndrome resolved by robot-assisted
laparoscopic adrenalectomy A correct diagnostic approach for proper surgical
therapy Case report
#MMPMID40585927
J Surg Case Rep
2025[Jun]; 2025
(6
): rjaf446
PMID40585927
show ga
Primary hyperaldosteronism, or Conn's syndrome, is a leading cause of secondary
hypertension, often presenting with persistent hypokalemia. We report the case of
a 44-year-old female with refractory hypokalemia and hypertension, ultimately
diagnosed with a unilateral aldosterone-producing adenoma. Diagnostic workup
included elevated transtubular potassium gradient and aldosterone-to-renin ratio,
confirmed by computed tomography imaging showing a typical left adrenal adenoma.
The patient underwent robot-assisted laparoscopic adrenalectomy, resulting in
normalized potassium levels and discontinuation of antihypertensive medications.
Histopathology confirmed adrenal adenoma. This case underscores the importance of
a structured diagnostic algorithm in detecting surgically correctable causes of
secondary hypertension. Robotic-assisted surgery offered superior precision,
minimal blood loss, and rapid recovery, proving especially advantageous in
complex or reoperative cases. In resource-limited settings, where advanced
technology is scarce, promoting diagnostic accuracy is vital for effective
management. This case advocates for the broader adoption of minimally invasive
approaches and encourages investment in surgical innovation in developing
countries.