[An unusual cause of hypertension].

Une cause inhabituelle d’hypertension artérielle.
Adrenal Cortex Neoplasms / diagnostic imaging Adrenocortical Carcinoma / diagnostic imaging Adult Fatal Outcome Female Humans Hypertension / etiology Neoplasm Metastasis / diagnostic imaging Tomography, X-Ray Computed
Adrenocortical carcinoma Corticosurrénalome Hypertension Hypertension artérielle Metastasis Métastases

Journal

Annales de cardiologie et d'angeiologie
ISSN: 1768-3181
Titre abrégé: Ann Cardiol Angeiol (Paris)
Pays: France
ID NLM: 0142167

Informations de publication

Date de publication:
Feb 2019
Historique:
received: 23 05 2018
accepted: 23 08 2018
pubmed: 7 10 2018
medline: 30 7 2019
entrez: 7 10 2018
Statut: ppublish

Résumé

Secondary hypertension is relatively rare. Its etiologies are essentially renal or endocrine. The adrenocortical carcinoma, a rare malignant tumor, is one of the most exceptional causes of hypertension. We report the case of a young woman presenting with hypertension and ascites of great abundance. She had hypokalemia, hepatic cytolysis and cholestasis. Thoracic, abdominal and pelvic CT scans showed adrenal mass, liver and lung nodules, osteolytic lesions of the sacrum. The biopsy of liver nodules confirmed the diagnosis of a metastatic malignant adrenocortical carcinoma. The hormonal investigations revealed cortisol and testosterone hypersecretion. The evolution was quickly fatal, the patient passed out a few days after her hospitalization.

Identifiants

DOI: 10.1016/j.ancard.2018.08.022 PMID: 30290908
pubmed: 30290908
pii: S0003-3928(18)30122-7
doi: 10.1016/j.ancard.2018.08.022
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

fre

Pagination

56-60

Informations de copyright

Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Auteurs

S El Aoud (S)

Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie. Electronic address: elaoudsahar@gmail.com.

H Tounsi (H)

Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie.

B Ben Ammou (B)

Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie.

E Chelbi (E)

Service d'anatomopathologie, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie.

I Chaabène (I)

Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie.

I Ben Ahmed (I)

Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie.

R Amri (R)

Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie.

W Garbouj (W)

Service de médecine interne, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie.

K Bouzaidi (K)

Service de radiologie, hôpital universitaire Mohamed-Taher-Maamouri, Mrazka, 8000 Nabeul, Tunisie.

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Classifications MeSH

questionsmedicales.fr › Maladies endocriniennes › Tumeurs des glandes endocrines › Tumeurs de la surrénale › Tumeurs corticosurrénaliennes › [An unusual cause of hypertension].
questionsmedicales.fr › Maladies endocriniennes › Tumeurs des glandes endocrines › Tumeurs de la surrénale › Tumeurs corticosurrénaliennes › Carcinome corticosurrénalien › [An unusual cause of hypertension].
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › [An unusual cause of hypertension].
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Mortalité › Issue fatale › [An unusual cause of hypertension].
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › [An unusual cause of hypertension].
questionsmedicales.fr › Maladies cardiovasculaires › Maladies vasculaires › Hypertension artérielle › [An unusual cause of hypertension].
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Processus néoplasiques › Métastase tumorale › [An unusual cause of hypertension].
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Imagerie diagnostique › Tomographie › Tomographie à rayons X › Tomodensitométrie › [An unusual cause of hypertension].