Evidence map›Paper›PMID 40585927›Full record

ArticleJournal of surgical case reports2025

Persistent hypokalemia due to Conn's syndrome resolved by robot-assisted laparoscopic adrenalectomy. A correct diagnostic approach for proper surgical therapy. Case report.

Santiago Muñoz-Palomeque, Miguel R Mesías, Diego M Mosquera, Fernando Jiménez Jaramillo

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Santiago Muñoz-PalomequeDepartment of General Surgery, Hospital Metropolitano, Quito, Ecuador, 170508.ORCID https://orcid.org/0000-0001-8040-4379
Miguel R MesíasDepartment of Surgery, Division of General and Oncologic Surgery, Hospital Metropolitano, Quito, Ecuador, 170508.
Diego M MosqueraDepartment of Surgery, Division of General Surgery, Hospital Metropolitano, Quito, Ecuador, 170508.
Fernando Jiménez JaramilloDepartment of Internal Medicine, Division of Nephrology, Hospital Metropolitano, Quito, Ecuador, 170508.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary hyperaldosteronism, or Conn's syndrome, is a leading cause of secondary hypertension, often presenting with persistent hypokalemia. We report the case of a 44-year-old female with refractory hypokalemia and hypertension, ultimately diagnosed with a unilateral aldosterone-producing adenoma. Diagnostic workup included elevated transtubular potassium gradient and aldosterone-to-renin ratio, confirmed by computed tomography imaging showing a typical left adrenal adenoma. The patient underwent robot-assisted laparoscopic adrenalectomy, resulting in normalized potassium levels and discontinuation of antihypertensive medications. Histopathology confirmed adrenal adenoma. This case underscores the importance of a structured diagnostic algorithm in detecting surgically correctable causes of secondary hypertension. Robotic-assisted surgery offered superior precision, minimal blood loss, and rapid recovery, proving especially advantageous in complex or reoperative cases. In resource-limited settings, where advanced technology is scarce, promoting diagnostic accuracy is vital for effective management. This case advocates for the broader adoption of minimally invasive approaches and encourages investment in surgical innovation in developing countries.

Indexed as

adenoma, Connadrenalectomyadrenocortical adenomahypokalemiarobotic surgical procedures

Identifiers

PMID40585927
PMCPMC12203781

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.