A Case of Pheochromocytoma Antenatally Diagnosed in the Mid Gestation.
- Author:
Yong Ho JO
1
;
Ye Jin KIM
;
Il Dong KIM
;
Sang Hyun LEE
;
Ji Young BAEK
;
Eui Sik JUNG
Author Information
1. Department of Obstetrics and Gynecology, National Medical Center, Seoul, Korea. mihyuna@shinbiro.com
- Publication Type:Case Report
- Keywords:
Pheochromocytoma;
Pregnancy
- MeSH:
Adrenalectomy;
Blood Pressure;
Edema;
Female;
Fetal Distress;
Fetus;
Humans;
Hypertension;
Mothers;
Nicardipine;
Phenoxybenzamine;
Pheochromocytoma*;
Pregnancy Trimester, Second;
Pregnancy*;
Propranolol;
Reference Values
- From:Korean Journal of Perinatology
2004;15(4):404-409
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pheochromocytoma during pregnancy is very rare tumor, and this condition is life threatening to both mother and fetus. We describe a case of pheochromocytoma antenatally diagnosed at the midtrimester in gestation. A patient was transferred to National Medical Center during gestational week 24 with severe hypertension, generalized edema. Pheochromocytoma caused by a left adrenal mass was diagnosed. The patient was treated with titrated dose of phenoxybenzamine, propranolol, and intravenous nicardipine, but, intermittent severe hypertension was developed. At 33 weeks gestation, fetal distress was developed, and emergent c-sec was done. Two weeks after delivery, she underwent a successful left adrenalectomy. Two months after surgery, all antihypertensive medications were discontinued and her blood pressure have remained normal range.
