Pheochromocytoma with negative urinalysis in pregnancy.
We present a rare case of adrenal pheochromocytoma in pregnancy, with serial 24-h urine specimen collections showing normal concentrations of catecholamine metabolites. The diagnosis was based on clinical presentation, abdominal ultrasound, and magnetic resonance imaging, and was confirmed on post-operative pathohistological examination. Clinical suspicion of pheochromocytoma in pregnancy should be sufficient to implement adequate therapeutic measures, regardless of urine catecholamine concentrations.
Kuvacić
I
I
Department of Obstetrics and Gynecology, Zagreb University School of Medicine, Petrova 13, 10000 Zagreb, Croatia. ivan.kuvacic@zg.tel.hr
Kalafatić
D
D
Skrablin
S
S
Sabljar-Matovinović
M
M
Mareković
Z
Z
Brajcić
H
H
Roncević
T
T
D000310:Adrenal Gland Neoplasms / Q000188:drug therapy / Q000652:urine*; D000328:Adult; D002395:Catecholamines / Q000652:urine*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010673:Pheochromocytoma / Q000188:drug therapy / Q000652:urine*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000188:drug therapy / Q000652:urine*; D011256:Pregnancy Outcome; D012016:Reference Values; D016482:Urinalysis
D002395:Catecholamines