Fibromuscular Dysplasia of the Renal Artery and Adrenal Adenoma In a 36-Year-Old Woman With Hypertension

A 36-year-old woman had fibrous dysplasia of the left renal artery and an aldosterone-producing adenoma of the right adrenal gland. The patient was evaluated first for secondary hypertension using a renal angiogram that showed fibrous dysplasia with stenosis of the left renal artery; angioplasty was successful. However, 1 month after angioplasty, hypertension recurred. Initially, it was thought that it had restenosed but after a negative angiography, adrenal computed tomography showed a 0.8-cm x 1-cm tumor of the right adrenal gland. The tumor was removed surgically, markedly improving her hypertension.