Abstract
A CASE OF HEPATOCELLULAR CANCER WITH ADRENAL GLAND METASTASIS PRESENTED WITH SERIOUS HYPERKALEMIA

Zeki Kemeç, Ali Gürel* and Ayhan Do?ukan

ABSTRACT

A 66-year-old male patient was admitted to our emergency department with complaints of weight loss, drowsiness, fatigue, and anorexia. Laboratory examination showed hyperkalemia, acute renal failure, elevation of liver enzymes and cholestasis. Hyperkalemia was resistant to medical treatment and hemodialysis. Radiologic evaluation revealed the findings of chronic liver disease, portal thrombosis and hepatocellular carcinoma (HCC) in the liver, and the masses were found in the left adrenal gland and adrenal insufficiency was observed. His complaints regressed dramatically after methylprednisolone replacement. Clinical and laboratory parameters were improved. Histopathology of the adrenal gland was completely necrosis. The radiological image, clinical and laboratory findings supported the metastasis of HCC to the adrenal gland.

Keywords: Hyperkalemia, adrenal Insufficiency, hepatocellular cancer.


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