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Case Reports
. 2023 Jul:108:108483.
doi: 10.1016/j.ijscr.2023.108483. Epub 2023 Jul 7.

Management of pheochromocytoma during pregnancy. A multidisciplinary challenge: A case reports

Asma Sghaier  1 , Talel Reguez  2 , Ameni Moussa  3 , Amine E L Ghali  3 , Fehmi Hamila  3 , Sabri Youssef  3
Affiliations
Case Reports

Management of pheochromocytoma during pregnancy. A multidisciplinary challenge: A case reports

Asma Sghaier et al. Int J Surg Case Rep. 2023 Jul.

Abstract

Introduction: Identification of pheochromocytoma during pregnancy is unusual. Lack of appropriate management may be responsible of high risk for both mother and fetus. The guarantee of a successful management of a pheochromocytoma during pregnancy is the establishment of an early diagnosis as well as the prevention of a hypertensive crisis during delivery and surgical treatment and without compromising the maternal-fetal prognosis.

Case presentation: A 31-year-old female patient, without any notable pathological history, pregnant at 20 weeks of amenorrhea was diagnosed for a Menard's triad. The medical investigations had allowed to confirm the diagnosis of left secretory pheochromocytoma. The surgical indication was taken in concertation between surgeons, endocrinologists, gynecologists and anesthesiologists. The parturient had undergone an uneventful laparoscopic left adrenalectomy without incidents.

Case discussion: Our case well illustrates that when the operative indication is posed, laparoscopic surgery can be performed safely during any trimester. However, it is legitimate to modulate the incisions according to gestational age and the height of the fundus. The involvement of all disciplines intervening in the management of the pregnant woman with pheochromocytoma is the guarantor of a favorable maternal-fetal prognosis.

Conclusion: A well-established diagnosis for pregnant women with severe secondary hypertension, multidisciplinary management, and safe laparoscopic approach are crucial to prevent perinatal morbidity and mortality.

Keywords: Case report; Laparoscopy; Perinatality; Pheochromocytoma; Pregnancy.

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Conflict of interest statement

Declaration of competing interest All authors declared that it was no conflicts of interest.

Figures

Fig. 1
Fig. 1
CT-Tomography showed the pheochromocytoma.
Fig. 2
Fig. 2
Image showing the specimen.
See this image and copyright information in PMC

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