Pheochromocytoma in pregnancy: A case report.
- Author:
Jae Hyun CHO
1
;
Sang Woon PARK
;
Kyung Duk LEE
;
Young Jung CHO
;
Hong Woo NAM
Author Information
1. Department of Internal Medicine, National Medical Center, Seoul, Korea. C2844@hanmail.net
- Publication Type:Case Report
- Keywords:
Pheochromocytoma;
Pregnancy
- MeSH:
Adrenalectomy;
Blood Pressure;
Cesarean Section;
Early Diagnosis;
Edema;
Female;
Fetal Distress;
Fetus;
Humans;
Hypertension;
Mothers;
Nicardipine;
Phenoxybenzamine;
Pheochromocytoma*;
Pregnancy*;
Propranolol;
Reference Values
- From:Korean Journal of Medicine
2005;68(3):325-328
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pheochromocytoma during pregnancy is very rarely discovered, and this condition is life threatening to both mother and fetus. Maternal and fetal survival depend a lot on an early diagnosis, a correct medical therapy and a correct timing of delivery and surgery. We describe a case of pheochromocytoma during pregnancy. A patient was transferred to our hospital 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 cesarean section 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.
