Kaan Gulleroglu
1*, Umut Bayrakci
1, Sibel Tulgar Kinik
2, Nihal Uslu
3, Alev Ok Atilgan
4, Faik Sarialioglu
5, Esra Baskin
11 Department of Pediatric Nephrology, Baskent University, Ankara, Turkey
2 Department of Pediatric Endocrinology, Baskent University, Ankara, Turkey
3 Department of Radiology, Baskent University, Ankara, Turkey
4 Department of Pathology, Baskent University, Ankara, Turkey
5 Department of Pediatric Oncology, Baskent University, Ankara, Turkey
*Corresponding Author: *Corresponding author: Dr. Kaan Gulleroglu, Baskent University Pediatric Nephrology Department. 54. Cadde No: 72/3. Bahcelievler-Cankaya. Ankara, Turkey. , Email:
kaangulleroglu@yahoo.com
Abstract
Background: Tumors known derived from kidneys which take place in secondary hyperaldosteronism etiology are juxtaglomerular cell tumor and Wilms’ tumor. Neuroblastoma presenting with hyperaldosteronism is rare.Case: A 15-month-old girl who had been having diarrhea and fever for 2 weeks presented with a 3 day history of bilious vomiting, metabolic acidosis and severe hypokalemia. She was referred to our hospital with the pre-diagnosis of unknown manifest hypertension etiology, diarrhea, and paralytic ileus after having therapy-resistant hypokalemia and severe resistant acidosis. On her examination after being admitted to our clinic, she was weak, unwell and lethargic with a blood pressure of 140/93 mmHg. Due to the hypertension and severe hypokalemia, the patient was considered to be hyperaldosteronism. Serum aldosterone level, plasma renin activity and cortisol level were elevated. Radiologic findings were compatible with neuroblastoma. The patient underwent an abdominal surgery and the mass excision. The histopathological examination was proved neuroblastoma.Conclusion: Hyperaldosteronism can be presented by unexpected atypical forms as in our patient