Perioperative management of Conn’s syndrome - a case report

Abstract

autonomous and excessive aldosterone production, leading to sodium retention and a fall in serum potassium. It may be
associated with long standing hypertension, and cardiac and neurological complications. A 51 year old, hypertensive, male
patient presented with generalised muscle weakness and hypokalemia. The patient was diagnosed to have benign adrenal
adenoma with Conn’s syndrome and was scheduled for laparoscopic adrenalectomy. We used epidural analgesia followed
by induction of general anesthesia. Intraoperative course was uneventful except for one episode of hypotension.
Unilateral or bilateral adrenalectomy may be performed to treat Conn's syndrome depending on the pathology.
Replacement corticosteroid and mineralocorticoid therapy is required for all patients undergoing bilateral adrenalectomy
and occasionally in those undergoing unilateral adrenalectomy. Following surgery, the cure rate for hyperaldosteronism
may be as high as 60-77%, though it may take a year or more for hypertension to resolve.