BILATERAL ADRENAL-CORTICAL ADENOMAS IN PRIMARY HYPERALDOSTERONISM

Bilateral adrenal cortical adenomas in the presence of primary hyperal dosteronism is an extremely rare condition. We present a case of prima ry hyperaldosteronism in which a unilateral hypersecreting aldosterone -producing adenoma coexisted with a large, contralateral adrenal mass ultimately found to be consistent with cortical adenoma. Management co nsisted of total adrenalectomy and enucleation of adenoma from the opp osite adrenal. The patient is normotensive 3 years after surgery. Enuc leation as a successful approach to hyperfunctioning cortical adenomas is proposed. UROLOGY 52: 711-714, 1998. (C) 1998, Elsevier Science In c. All rights reserved.