Laparoscopic approach to pheochromocytoma in pregnancy: case report.

نویسندگان

  • Felipe de Almeida E Paula
  • Ravisio Israel Dos Santos
  • Odivaldo Antonio Ferruzzi
  • Rafael Osti Melo
  • Mariana Takaku
چکیده

A 32-year-old 22-week pregnant hypertensive woman with sporadic episodes of headaches, sweating, and facial flushing was diagnosed with pheochromocytoma through biochemical and imaging tests. Perioperative management included a multidisciplinary approach, symptom stabilization with ɑ blockade followed by β blockade, and tumor resection by laparoscopic adrenalectomy at 24 weeks gestation. The diagnosis was confirmed by histopathological examination and immunohistochemistry tests. The decision for surgical removal of the tumor was based on maternal symptoms, tumor size, gestational age, the possibility of doing a laparoscopy, and the expertise of the surgical team.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Pheochromocytomas, MEN 2A and Pregnancy: A Case Report with Review of the Literature

Pheochromocytoma in pregnancy is a rare condition with an estimated incidence of one in 54,000 pregnancies. Pheochromocytoma in the setting of multiple endocrine neoplasia (MEN) type 2A develops in approximately 40% of the patients with this germline mutation. MEN 2A patients with pheochromocytoma are often asymptomatic compared to those with nonsyndromic pheochromocytoma. We present a 28-year-...

متن کامل

Anesthetic management of a pregnant woman undergoing laparoscopic surgery for pheochromocytoma -A case report-

Pheochromocytoma is a rare catecholamine producing tumor. Anesthetic management for the resection of pheochromocytoma is hard and challenging issue to anesthesiologist, because of its potentially lethal cardiovascular complications. It becomes more complicated when the patient is pregnant. Clinicians must keep the safety of both mother and fetus in mind. The timing of surgery for pheochromocyto...

متن کامل

Laparoscopic management of paraganglioma in a pregnant woman: a case report.

INTRODUCTION Paraganglioma is an extremely rare catecholamine-producing tumor during pregnancy. Paraganglioma carries high risks of fetal and maternal mortality during pregnancy. We report a pregnant woman with paraganglioma in the second trimester. CASE DESCRIPTION A 24-year-old pregnant woman presented with severe hypertension in the 17th week of gestation. Hormonal examination and Magnetic...

متن کامل

Endoscopic treatment of bilateral pheochromocytoma in MEN 2A syndrome: case report and review of the literature.

The benefits of laparoscopic adrenalectomy for single adrenal lesion have been well documented in literature; less experience though has been reported with simultaneous bilateral laparoscopic adrenalectomy. This operation is indicated in case of primary hypercortisolism caused by bilateral adrenocortical hyperfunction, Cushing's disease after failure of pituitary surgery, ectopic adrenocorticot...

متن کامل

Transperitoneal laparoscopic adrenalectomy for a large pheochromocytoma: case report and review of the literature

Background: Laparoscopic adrenalectomy is the standard procedure for the removal of adrenal masses. Transperitoneal laparoscopic resection of adrenal tumor is the preferred surgical technique. In the present case report authors described a case with a 20 cm right pheochromocytoma successfully treated by using transperitoneal laparoscopic approach. Methods: A 26-year old man had a 20 cm retroper...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • International braz j urol : official journal of the Brazilian Society of Urology

دوره 44  شماره 

صفحات  -

تاریخ انتشار 2018