Transcatheter Alcohol Embolization of an Aldosteronoma

ABSTRACT

Successful transcatheter arterial embolization of symptomatic adrenal aldosteronoma in a 56-year-old woman with hypertension and hypokalemia is described. The presentation, diagnosis, and treatment of aldosterone-producing tumors are subsequently discussed.

KEYWORDS

Aldosteronoma - embolization - ethanol

REFERENCES

• 1 Khan A N. Hyperaldosteronism. http://Available at: www.emedicine.com/radio/topic354.htm
• 2 Ellman B A, Parkhill B J, Curry III T S, Marcus P B, Peters P C. Ablation of renal tumors with absolute ethanol: a new technique.  Radiology. 1981;  141 619-626
• 3 Onohara S, Kobayashi H, Uchiyama N, Sonoda T, Oyama T, Shinohara S. A successfully treated case of malignant pheochromocytoma by arterial embolization using absolute ethanol.  Nippon Igaku Hoshasen Gakkai Zasshi. 1983;  43 1-8
• 4 Shibata T, Maetani Y, Ametani F, Itoh K, Konishi J. Percutaneous ethanol injection for treatment of adrenal metastasis from hepatocellular carcinoma.  AJR Am J Roentgenol. 2000;  174 333-335
• 5 Hokotate H, Inoue H, Baba Y, Tsuchimochi S, Nakajo M. Aldosternomas: experience with superselective adrenal arterial embolization in 33 cases.  Radiology. 2003;  227 401-406
• 6 Weigel R J, Wells S A, Gunnells J C, Leight G S. Surgical treatment of primary hyperaldosteronism.  Ann Surg. 1994;  219 347-352
• 7 Granberg P O, Adamsson U, Hamberger B, Lins P E. Surgical treatment of primary aldosteronism.  Ann Chir Gynaecol. 1983;  72 171-176
• 8 Rossi R, Savastano S, Tommaselli A P et al.. Percutaneous computed tomography-guided ethanol injection in aldosterone-producing adrenocortical adenoma.  Eur J Endocrinol. 1995;  132 302-305
• 9 Liang H L, Pan H B, Lee Y H et al.. Small functional adrenal adenoma: treatment with CT-guided percutaneous acetic acid injection-report of three cases.  Radiology. 1999;  213 612-615
• 10 Mayo-Smith W W, Dupuy D E. Adrenal neoplasms: CT-guided radiofrequency ablation-preliminary results.  Radiology. 2004;  231 225-230