Dealing with Pheochromocytoma during the First Trimester of Pregnancy
Purpose. Pheochromocytoma in association with pregnancy is a very rare, without specific symptoms, life-threatening condition, increasing both maternal and fetal mortality up to 50%. The present paper illustrates the case of a pregnant woman, diagnosed with pheochromocytoma, aiming to demonstrate an...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2015/439127 |
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| author | Konstantinos Kiroplastis Apostolos Kambaroudis Apostolos Andronikou Andromachi Reklou Dimitris Kokkonis Panagiotis Petras Apostolos Mamopoulos Eudokia Anagnostara Charalampos Spyridis |
| author_facet | Konstantinos Kiroplastis Apostolos Kambaroudis Apostolos Andronikou Andromachi Reklou Dimitris Kokkonis Panagiotis Petras Apostolos Mamopoulos Eudokia Anagnostara Charalampos Spyridis |
| author_sort | Konstantinos Kiroplastis |
| collection | DOAJ |
| description | Purpose. Pheochromocytoma in association with pregnancy is a very rare, without specific symptoms, life-threatening condition, increasing both maternal and fetal mortality up to 50%. The present paper illustrates the case of a pregnant woman, diagnosed with pheochromocytoma, aiming to demonstrate and discuss the difficulties that arouse during the diagnosis and the problems concerning the treatment. Patient. A 34-year-old woman, in the 9th week of pregnancy, complained for headache, sweating, and a feeling of heavy weight on the right renal area. A tumor of 10 cm diameter at the site of the right adrenal was found. Twenty-four-hour urine catecholamine and VMA excretion levels were well raised. Results. Multidisciplinary approach treated the patient conservatively. Surgical resection of the tumor was performed after the 14th week of pregnancy at the completion of organogenesis. Neither postoperative complications occurred nor hypertension relapse was recorded. The fetus was delivered without complications at the 36th week. Conclusions. There are no consensus and guidelines for treating pheochromocytoma during pregnancy, especially when it is diagnosed in the first trimester. The week of pregnancy and a multidisciplinary approach will determine whether the pregnancy should be continued or not, as well as the time and the approach of surgical treatment. |
| format | Article |
| id | doaj-art-42609877fb9a4e89bde715a3a55624ce |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-42609877fb9a4e89bde715a3a55624ce2025-02-03T05:52:11ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922015-01-01201510.1155/2015/439127439127Dealing with Pheochromocytoma during the First Trimester of PregnancyKonstantinos Kiroplastis0Apostolos Kambaroudis1Apostolos Andronikou2Andromachi Reklou3Dimitris Kokkonis4Panagiotis Petras5Apostolos Mamopoulos6Eudokia Anagnostara7Charalampos Spyridis8Fifth Surgical Department, Aristotle University of Thessaloniki, Hippokratio General Hospital of Thessaloniki, Konstantinoupoleos 49 Street, 54642 Thessaloniki, GreeceFifth Surgical Department, Aristotle University of Thessaloniki, Hippokratio General Hospital of Thessaloniki, Konstantinoupoleos 49 Street, 54642 Thessaloniki, GreeceFifth Surgical Department, Aristotle University of Thessaloniki, Hippokratio General Hospital of Thessaloniki, Konstantinoupoleos 49 Street, 54642 Thessaloniki, GreeceSecond Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, Hippokratio General Hospital of Thessaloniki, Konstantinoupoleos 49 Street, 54642 Thessaloniki, GreeceFifth Surgical Department, Aristotle University of Thessaloniki, Hippokratio General Hospital of Thessaloniki, Konstantinoupoleos 49 Street, 54642 Thessaloniki, GreeceFifth Surgical Department, Aristotle University of Thessaloniki, Hippokratio General Hospital of Thessaloniki, Konstantinoupoleos 49 Street, 54642 Thessaloniki, GreeceThird Obstetric Department, Hippokratio General Hospital of Thessaloniki, Konstantinoupoleos 49 Street, 54642 Thessaloniki, GreeceAnesthesiology Department, Hippokratio General Hospital of Thessaloniki, Konstantinoupoleos 49 Street, 54642 Thessaloniki, GreeceFifth Surgical Department, Aristotle University of Thessaloniki, Hippokratio General Hospital of Thessaloniki, Konstantinoupoleos 49 Street, 54642 Thessaloniki, GreecePurpose. Pheochromocytoma in association with pregnancy is a very rare, without specific symptoms, life-threatening condition, increasing both maternal and fetal mortality up to 50%. The present paper illustrates the case of a pregnant woman, diagnosed with pheochromocytoma, aiming to demonstrate and discuss the difficulties that arouse during the diagnosis and the problems concerning the treatment. Patient. A 34-year-old woman, in the 9th week of pregnancy, complained for headache, sweating, and a feeling of heavy weight on the right renal area. A tumor of 10 cm diameter at the site of the right adrenal was found. Twenty-four-hour urine catecholamine and VMA excretion levels were well raised. Results. Multidisciplinary approach treated the patient conservatively. Surgical resection of the tumor was performed after the 14th week of pregnancy at the completion of organogenesis. Neither postoperative complications occurred nor hypertension relapse was recorded. The fetus was delivered without complications at the 36th week. Conclusions. There are no consensus and guidelines for treating pheochromocytoma during pregnancy, especially when it is diagnosed in the first trimester. The week of pregnancy and a multidisciplinary approach will determine whether the pregnancy should be continued or not, as well as the time and the approach of surgical treatment.http://dx.doi.org/10.1155/2015/439127 |
| spellingShingle | Konstantinos Kiroplastis Apostolos Kambaroudis Apostolos Andronikou Andromachi Reklou Dimitris Kokkonis Panagiotis Petras Apostolos Mamopoulos Eudokia Anagnostara Charalampos Spyridis Dealing with Pheochromocytoma during the First Trimester of Pregnancy Case Reports in Obstetrics and Gynecology |
| title | Dealing with Pheochromocytoma during the First Trimester of Pregnancy |
| title_full | Dealing with Pheochromocytoma during the First Trimester of Pregnancy |
| title_fullStr | Dealing with Pheochromocytoma during the First Trimester of Pregnancy |
| title_full_unstemmed | Dealing with Pheochromocytoma during the First Trimester of Pregnancy |
| title_short | Dealing with Pheochromocytoma during the First Trimester of Pregnancy |
| title_sort | dealing with pheochromocytoma during the first trimester of pregnancy |
| url | http://dx.doi.org/10.1155/2015/439127 |
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