Volume 11, Issue 2, May 2015, Pages 476–478
Jihad Drissi1, Mounia Zyadi2, Jaouad Kouach3, Driss Rahali Moussaoui4, and Mohammed Dehayni5
1 Service de Gynécologie-Obstétrique, Hôpital militaire d'Instruction Mohammed V, Rabat, Morocco
2 Service de Gynécologie-Obstétrique, Hôpital militaire d'Instruction Mohammed V, Rabat, Morocco
3 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
5 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2015 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Conn adenoma is the first cause of secondary hypertension of endocrine origin. His discovery during pregnancy is a rare situation. The objective of this work is to review the diagnostic features and management of this disease during pregnancy.
Observation: We report the case of a primigravida 24 years hospitalized in the second trimester to tetraparesis related to a secondary hypokalemia Conn adenoma. Adrenalectomy were expected in the second quarter, but the occurrence of thrombophlebitis of the left leg had repporter gesture until postpartum. The patient was hospitalized several times for blood pressure control but showed during his last hospitalization 35SA SFA having imposed a fetal extraction by high way.
Discussion and Conclusion: The Conn adenoma discovered during pregnancy has certain diagnostic and therapeutic features that need to know for proper care.
Author Keywords: pregnancy, hypokali.
Jihad Drissi1, Mounia Zyadi2, Jaouad Kouach3, Driss Rahali Moussaoui4, and Mohammed Dehayni5
1 Service de Gynécologie-Obstétrique, Hôpital militaire d'Instruction Mohammed V, Rabat, Morocco
2 Service de Gynécologie-Obstétrique, Hôpital militaire d'Instruction Mohammed V, Rabat, Morocco
3 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
5 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2015 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Conn adenoma is the first cause of secondary hypertension of endocrine origin. His discovery during pregnancy is a rare situation. The objective of this work is to review the diagnostic features and management of this disease during pregnancy.
Observation: We report the case of a primigravida 24 years hospitalized in the second trimester to tetraparesis related to a secondary hypokalemia Conn adenoma. Adrenalectomy were expected in the second quarter, but the occurrence of thrombophlebitis of the left leg had repporter gesture until postpartum. The patient was hospitalized several times for blood pressure control but showed during his last hospitalization 35SA SFA having imposed a fetal extraction by high way.
Discussion and Conclusion: The Conn adenoma discovered during pregnancy has certain diagnostic and therapeutic features that need to know for proper care.
Author Keywords: pregnancy, hypokali.
Abstract: (french)
Introdution : l'adénome de Conn est la première cause d'HTA secondaire d'origine endocrinienne. Sa découverte pendant la grossesse est une situation rare. L'objectif de ce travail est de mettre le point sur les particularités diagnostiques et prise en charge de cette pathologie durant la grossesse.
Observation : nous rapportons le cas d'une primigeste de 24 ans hospitalisée au deuxième trimestre de sa grossesse pour tétraparésie en rapport avec une hypokaliémie secondaire à un adénome de Conn. La surrénalectomie étaient prévue au deuxième trimestre mais la survenue d'une thrombophlébite du membre inférieur gauche avait fait repporter le geste jusqu'en post-partum. La patiente a été hospitalisée à plusieurs reprises pour équilibre tensionnel mais a présenté au cours de sa dernière hospitalisation à 35SA une SFA ayant imposée l'extraction fœtale par voie haute.
Discussion et conclusion: L'adénome de Conn découvert pendant la grossesse a certaines particularités diagnostics et thérapeutique qu'il convient de connaitre pour une prise en charge adéquate.
Author Keywords: grossesse, hypokaliémie, myopathie, adénome de Conn, surrénalectomie.
How to Cite this Article
Jihad Drissi, Mounia Zyadi, Jaouad Kouach, Driss Rahali Moussaoui, and Mohammed Dehayni, “Adénome de Conn révélé par une hypokaliémie découverte au cours d'une grossesse : à propos d'un cas,” International Journal of Innovation and Applied Studies, vol. 11, no. 2, pp. 476–478, May 2015.
