Robotic Assisted Adrenalectomy: A Novel Approach to Manage Conn’s Adenoma

Primary hyperaldosteronism (PHA), also known as Conn’s syndrome, accounts for 5%-10% of hypertensive cases. It is a condition caused by an adrenal tumour that produces excess aldosterone. This hormonal excess leads to high blood pressure and is referred to as Conn’s syndrome, named after the doctor who first described it. Although, symptoms may be mild, prolonged exposure to high aldosterone levels is very toxic, and can cause stroke and heart attacks. This report presents a patient who came with paralytic symptoms due to severe hypokalaemia. On investigation, he was diagnosed with a Conn’s adenoma, which was subsequently treated by adrenalectomy. This is a rare presentation of Conn’s adenoma and was managed in a timely manner through a multidisciplinary approach. Robotic-assisted surgery benefited the patient by enabling a rapid recovery with minimal blood loss. The patient’s blood pressure normalised following the adrenalectomy.