24 July 2025 : Case report
Ectopic Adrenocortical Adenoma Causing Malignant Hypertension and Hypokalemia
Xiaoyong Hu
BEF 1, Djandan Tadum Arthur Vithran EF 2,3, Zhaoying Yang BCD 1, Hongjian Li ACG 1*
DOI: 10.12659/AJCR.948022
Am J Case Rep 2025; 26:e948022
Table 1 Characteristics of the patient.
| Characteristic | Description |
|---|---|
| Patient age and sex | 45-year-old man |
| Primary symptoms | Dizziness, vomiting, and hypokalemia |
| Initial blood pressure | 192/110 mmHg |
| Key diagnostics | Abdominal CT, MRI, blood tests for aldosterone and renin |
| Surgical intervention | Resection of ectopic adrenocortical adenoma |
| Post-surgery blood pressure | 140/90 mmHg |
| Follow-up duration | 12 months |
| Final blood pressure | 120–130/70–80 mmHg |
| Medications after surgery | Felodipine sustained-release tablet 5 mg/q24 h |
| Primary outcome | Stabilization of blood pressure and potassium levels, no further deterioration of target organs (heart, brain, kidney, retina) |