Mezoued M, Habouchi M A, Azzoug S, Mokkedem K, Meskine D
University of Algiers, Faculty of Medical Sciences - Department of Endocrinology and Metabolism, Alger, Algeria.
University of Algiers, Faculty of Medical Sciences - Department of Radiology, Alger, Algeria.
Acta Endocrinol (Buchar). 2020 Jul-Sep;16(3):359-361. doi: 10.4183/aeb.2020.359.
Reninoma (juxtaglomerular cell tumor) is a rare cause of renin-mediated hypertension. We reported a 18 year old woman with history of hypertension for 3 years. Laboratory findings showed severe hypokalemia and markedly increased levels of renin and aldosterone. Kidney ultrasonography, abdominal computed tomography and magnetic resonance imaging revealed a small mass in the middle region of the right kidney. The patient underwent nephron-sparing surgery; immunohistochemical results demonstrated typical features of reninoma. Postoperatively, blood pressure and potassium levels were normal at 1 month follow-up.
肾素瘤(球旁细胞瘤)是肾素介导的高血压的罕见病因。我们报告了一名18岁女性,有3年高血压病史。实验室检查结果显示严重低钾血症以及肾素和醛固酮水平显著升高。肾脏超声、腹部计算机断层扫描和磁共振成像显示右肾中部有一个小肿块。患者接受了保留肾单位手术;免疫组化结果显示为肾素瘤的典型特征。术后1个月随访时血压和血钾水平正常。