Long-lasting hypoaldosteronism after adrenalectomy in a cat with hyperaldosteronism

被引:0
|
作者
Bouccara, Lea [1 ]
Dunie-Merigot, Antoine [1 ]
Poujol, Laure [1 ]
Blond, Laurent [1 ]
Jolivet, Franck [1 ]
机构
[1] Ctr Hosp Vet Languedocia, 470 Rue Favre St Castor, F-34080 Montpellier, France
来源
JOURNAL OF FELINE MEDICINE AND SURGERY OPEN REPORTS | 2024年 / 10卷 / 01期
关键词
Hypokalaemia; systemic hypertension; endocrinology; surgical management; DEOXYCORTICOSTERONE PIVALATE; UNILATERAL ADRENALECTOMY; SUPPRESSION;
D O I
10.1177/20551169241243012
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
Case summary A 10-year-old neutered male domestic shorthair cat was presented with an abdominal mass, associated renal failure, chronic vomiting, anorexia and progressive polyuria/polydipsia lasting for 3 weeks. Clinical examination and initial blood work revealed azotaemia, hypokalaemia and hypertension. Abdominal ultrasound showed an adrenal mass with a diameter of 3 cm near the right kidney. High serum aldosterone suggested primary hyperaldosteronism. Surgery enabled identification of the mass and its excision along with the right adrenal gland. Histologically, carcinoma of the adrenal cortex was diagnosed. Postoperatively, an increase in serum creatinine and potassium, along with a low serum aldosterone, led to a diagnosis of hypoaldosteronism. Mineralocorticoid therapy for 6 months was necessary, resulting in clinical and biological improvement.Relevance and novel information To our knowledge, this case describes the longest-lasting reported secondary hypoaldosteronism in a cat, after unilateral adrenalectomy for an adrenal carcinoma with hyperaldosteronism.
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页数:6
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