• Internal medicine · Feb 2022

    Review Case Reports

    Primary Aldosteronism Presenting with Hypertension Five days after Delivery: A Case Report and Literature Review.

    • Nobumasa Ohara, Michi Kobayashi, Yuichiro Yoneoka, Go Hasegawa, Yayoi Aoki, Yasuhiro Nakamura, Yoshiki Kazama, and Tsutomu Nishiyama.
    • Department of Endocrinology and Metabolism, Uonuma Kikan Hospital, Japan.
    • Intern. Med. 2022 Feb 15; 61 (4): 507-512.

    AbstractA 35-year-old Japanese woman with no history of hypertension developed hypertension 5 days after normal delivery. Endocrinological and radiological examinations indicated primary aldosteronism (PA) and a 1.4-cm left adrenal tumor. The patient underwent laparoscopic adrenalectomy, and a diagnosis of aldosterone-producing adenoma was confirmed immunohistochemically. Her plasma aldosterone concentration and blood pressure normalized. Cases of PA presenting with hypertension in the postpartum period have been reported. This case suggests that PA should be considered in women with postpartum hypertension, especially in those with blood pressure that suddenly increases shortly after delivery, even if they were normotensive before and throughout pregnancy.

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