ISSN: 2423-6438  
J Renal Endocrinol. 2019;5(1): e2.

Case Report

Conn’s adenoma in a woman with celiac disease 

Taoufiq Aatif 1 * , Salah Bellasri 2, Youness El Harrech 3

1 Department of Nephrology and Hemodialysis, 5th Military Hospital Guelmim and Sidi Mohamed Ben Abdellah University, Faculty of Medicine and Pharmacy, Fes, Morocco.
2 Department of Radiology 5th Military Hospital Guelmim, Morocco.
3 Department of Urology, 5th Military Hospital Guelmim, Morocco
*Corresponding Author: Taoufiq Aatif, Email: Email: taoufiq.aatif@usmba.ac.ma

Abstract

Conn’s adenoma on a field of celiac disease has never been described in the literature. We report a case of 31-year-old woman with a history of celiac disease under gluten-free diet, and a pregnancy-induced hypertension controlled under treatment. She was presented with hypertension crisis, hypokalemia and metabolic alkalosis. Diagnosis of primary aldosteronism (PA) was suspected, which was confirmed by a decrease plasma renin, elevated plasma aldosterone level and high aldosterone/renin ratio additionally. Adrenal computed tomography revealed left adrenal mass. The patient was treated with nicardipine, spironolactone and potassium supplements. Laparoscopic left adrenalectomy was performed. The final diagnosis was adenoma of the adrenal gland consistent with Conn’s adenoma. Blood pressure (BP) and hypokalemia returned to the normal level without any medication or supplement.
Citation: Aatif T, Bellasri S, Harrech Y. Conn’s adenoma in a woman with celiac disease. J Renal Endocrinol. 2019;5:e02.  
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Submitted: 10 May 2018

Accepted: 19 Jul 2018
First published online: 05 Jul 2018
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