A case of bilateral pheochromocytoma during pregnancy

BMC Surgery

Case Report

Masahiko Ohsawa¹  Kae Hamamoto²  Akihiro Hamuro³  Kishu Kitayama⁴  Naoyoshi Onoda⁴  Go Ohira⁴  Ryosuke Amano⁴  Shinichiro Kashiwagi⁴  Sadaaki Yamazoe⁴  Satoru Noda⁴  Kenjiro Kimura⁴  Kosei Hirakawa⁴ 

[1] Department of Diagnostic Pathology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, Japan;Department of Metabolism and Molecular Medicine, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, Japan;Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, Japan;Department of Surgical Oncology, Osaka City University Graduate School of Medicine, 1-4-3 Asahi-machi, Abeno-ku, Osaka, Japan;

关键词: Pheochromocytoma;    Pregnancy;    Adrenal tumor;    Bilateral;    Adrenalectomy;   

DOI  :  10.1186/s12893-015-0041-1

 received in 2015-01-05, accepted in 2015-04-28,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundPheochromocytoma is a disease where catecholamines are secreted. If pheochromocytoma occurs during pregnancy, it can be difficult to diagnose because it is similar to pregnancy-induced hypertension. Furthermore, bilateral pheochromocytoma during pregnancy is even rarer than unilateral pheochromocytoma.Case presentationA 32-year-old primigravida, who was 12 weeks’ pregnant, was aware of right abdominal discomfort. Masses in both adrenal glands were observed by abdominal ultrasonography. She was diagnosed with pheochromocytoma. Bilateral adrenalectomy was undertaken at 15 weeks’ gestation and she continued pregnancy. At 39 weeks’ gestation, a healthy male neonate was delivered. She was discharged on the 4th postpartum day.ConclusionsWe present a case of bilateral pheochromocytoma during pregnancy that was diagnosed in the first trimester. Differentiating pheochromocytoma from pregnancy-induced hypertension is important. Early diagnosis and appropriate blood pressure management with medical treatment followed by surgical removal of the tumor results in good maternal and fetal outcomes.

【 授权许可】

Unknown   
© Kitayama et al.; licensee BioMed Central. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.