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Case Reports
. 2014 May 21:2014:bcr2013202838.
doi: 10.1136/bcr-2013-202838.

Surgical management of pheochromocytoma in a 13-week pregnant woman

Mazhar Ali Memon  1 , Wajahat Aziz  1 , Farhat Abbas  1
Affiliations
Case Reports

Surgical management of pheochromocytoma in a 13-week pregnant woman

Mazhar Ali Memon et al. BMJ Case Rep. .

Abstract

A 34-year-old 13-week pregnant woman presented with hypertension refractory to medical therapy and on workup was found to have a right adrenal mass. Due to her persistent increased blood pressure she was advised urinary vanillylmandelic acid (VMA) and its level was raised. MRI of the abdomen showed a well-circumcised lesion in the right adrenal of 3.0×2.5 cm suggestive of pheochromocytoma. The patient was started on antihypertensives including α-blockers and β-blockers and planned for right open adrenalectomy. Intraoperatively, blood pressure was raised up to 180/110 mm Hg on slight manipulation of adrenal gland which was controlled with glyceryl-trinitrate and volatile agents. Postoperatively urinary VMA decreased to normal range and all antihypertensives were gradually stopped. She had uneventful pregnancy and delivered vaginally. This case report highlights the importance of surgical management of pheochromocytoma in second trimester of pregnancy to avoid catastrophic complications later in pregnancy.

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Figures

Figure 1
Figure 1
Abdominal MRI (coronal view) showing the right adrenal mass (arrow).
Figure 2
Figure 2
Abdominal MRI (axial view) showing the right adrenal mass (arrow).
See this image and copyright information in PMC

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References

    1. Lenders JW. Endocrine disorders in pregnancy: pheochromocytoma and pregnancy: a deceptive connection. Eur J Endocrinol 2012;166:143–50 - PubMed
    1. Almog B, Kupferminc MJ, Many A, et al. Pheochromocytoma in pregnancy—a case report and review of the literature. Acta Obstet Gynecol Scand 2000;79:709–11 - PubMed
    1. Greene J, Guay A. New perspectives in pheochromocytoma. Urol Clin North Am 1989;16:487. - PubMed
    1. Von Moll L, McEwan AJ, Shapiro B, et al. Iodine-131 MIBG scintigraphy of neuroendocrine tumors other than pheochromocytoma and neuroblastoma. J Nucl Med 1987;28:979. - PubMed
    1. Oliva R, Angelos P, Kaplan E, et al. Pheochromocytoma in pregnancy a case series and review. Hypertension 2010;55:600–6 - PubMed

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