Pheochromocytoma in pregnancy – case report and literature review
Authors:
Kristína Tomová; Petra Barboríková; Richard Školka; Karol Dókuš
Authors place of work:
II. gynekologicko–pôrodnícka klinika SZU a FNsP F. D. Roosevelta, Banská Bystrica
Published in the journal:
Forum Diab 2023; 12(3): 106-109
Category:
Case Reports
Summary
Pheochromocytoma is a rare disease in pregnancy with a possible serious impact on the health of the pregnant woman and her fetus. Early identification, treatment and correct timing of termination of pregnancy is a key factor for the successful management of such a condition in a pregnant patient. The work describes the case of a 20-year-old pregnant woman with her fourth child with a complicated obstetric history and a known pheochromocytoma, who is being monitored for accelerated hypertension, poorly responsive to beta-adrenergic antihypertensive treatment, cardiomyopathy and severe anemia in the 28th week of gestation. The previous pregnancy and delivery were complicated by postpartum hemorrhage, severe hypotony of the uterus with the necessity of relaparotomy, evacuation of the hematoma, and placement of a compression B-Lynch uterine suture.
Keywords:
paraganglioma – arterial hypertension – B-Lynch suture – pheochromocytoma -pregnancy
Zdroje
- Roman S. Pheochromocytoma and functional paraganglioma. Curr Opin Oncol 2004; 16(1): 8–12. Dostupné z DOI: <https://doi: 10.1097/00001622–200401000–00003>.
- Elder EE, Elder G, Larsson C. Pheochromocytoma and functional paraganglioma syndrome: No longer the 10% tumor. J Surg Oncol 2005; 89(3): 193–201. Dostupné z DOI: <https://doi: 10.1002/jso.20177>.
- Sobocki BK, Perdyan A, Szot O et al. Management of Pheochromocytomas and Paragangliomas: A Case-Based Review of Clinical Aspects and Perspectives. J Clin Med 2022; 11(9): 2591. Dostupné z DOI: <https://doi: 10.3390/jcm11092591>.
- Kbroadbent, “HR06–6-2–04.fm,” pp. 1–8, 2004.
- Coleman C, Odidi A, Paralitici M. Pheochromocytoma. Appl Radiol 2011; 40(10): 26–27.
- Gruber LM, Young WF, Bancos I. Pheochromocytoma and Paraganglioma in Pregnancy: a New Era. Curr Cardiol Rep 2021; 23(6): 60. Dostupné z DOI: <https://doi: 10.1007/s11886–021–01485–4>.
- Funovics M, Montet X, Reynolds F et al. Nanoparticles for the optical imaging of tumor E-selectin. Neoplasia 20025; 7(10). 904–911. Dostupné z DOI: <https://doi: 10.1593/neo.05352>.
- Lundholm MD, Marquard J, Rao PP. Paraganglioma in pregnancy, a mimic of preeclampsia: a case report. J Med Case Rep 2023; 17(1): 124. Dostupné z DOI: <https://doi: 10.1186/s13256–023–03871–8>.
- Zuspan FP. Urinary excretion of epinephrine and norepinephrine during pregnancy. J Clin Endocrinol Metab 1970; 30(3): 357–360. Dostupné z DOI: <https://doi: 10.1210/jcem-30–3-357>.
- Lenders JWM, Langton K, Langenhuijsen JF. Pheochromocytoma and Pregnancy. Endocrinol Metab Clin North Am 2019; 48(3): 605–617. Dostupné z DOI: <https://doi: 10.1016/j.ecl.2019.05.006>.
- Kline GA, Boyd J, Leung AA et al. Very high rate of false positive biochemical results when screening for pheochromocytoma in a large, undifferentiated population with variable indications for testing. Clin Biochem 2020; 77(no): 26–31. Dostupné z DOI: <https://doi: 10.1016/j.clinbiochem.2020.01.005>.
- Oliva R, Angelos P, Kaplan E et al. Pheochromocytoma in pregnancy: A case series and review. Hypertension 2010; 55(3): 600–606. Dostupné z DOI: <https://doi: 10.1161/HYPERTENSIONAHA.109.147579>.
- Lenders JWM, Duh QY, Eisenhofer G et al. Pheochromocytoma and paraganglioma: An endocrine society clinical practice guideline. J Clin Endocrinol Metab 2014; 99(6): 1915–1942. Dostupné z DOI: <https://doi: 10.1210/jc.2014–1498>.
- Jain C. ACOG Committee Opinion No. 723: Guidelines for Diagnostic Imaging during Pregnancy and Lactation. Obstet Gynecol 2019; 133(1):186. Dostupné z DOI: <https://doi: 10.1097/AOG.0000000000003049>.
- Negro A, Verzicco I, Tedeschi S et al. Unrecognised pheochromocytoma in pregnancy discovered through metoclopramide-triggered hypertensive emergency. Blood Press 2021; 30(5): 322–326. Dostupné z DOI: <https://doi: 10.1080/08037051.2021.1945428>.
- Chung PCH, Li AH, Lin CC et al. Elevated vascular resistance after labetalol during resection of a pheochromocytoma (Brief report). Can J Anesth 2002; 49(2): 148–150. Dostupné z DOI: <https://doi: 10.1007/BF03020487>.
Štítky
Diabetology Endocrinology Internal medicineČlánok vyšiel v časopise
Forum Diabetologicum
2023 Číslo 3
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