In a 12-year-old male shorthaired cat with attacks of hypokalaemic muscular
weakness in spite of oral potassium supplementation, highly elevated plasm
a aldosterone concentrations in combination with low plasma renin activity
pointed to primary hyperaldosteronism, Ultrasonography and computed tomogra
phy revealed a large left-sided adrenal tumour growing into the phrenicoabd
ominal vein and the caudal vena cava, The tumour and its intravascular exte
nsion were surgically removed, but the subsequent stenosis of the caudal ve
na cava caused congestion and renal failure. At autopsy pulmonary micrometa
stases of the aldosteronoma were found.