Pheochromocytoma in a pregnant woman with multiple endocrine neoplasia type 2a.
Pheochromocytoma is a rare cause of hypertension. Its coexistence with pregnancy is exceptional and laparoscopic removal has rarely been reported. We describe the case of a 34-year-old woman with multiple endocrine neoplasia type 2a (MEN 2a) with adrenal pheochromocytoma diagnosed in the 6th week of pregnancy. After pretreatment with phenoxybenzamine, a successful transperitoneal laparoscopic adrenalectomy was performed in the twentieth week of gestation. The management of pheochromocytoma in pregnancy and the indications for laparoscopic surgery in pregnant patients are discussed.
Martínez Brocca
M A
MA
Department of Endocrinology, Hospital Universitario Vírgen del Rocío, Avenida Manuel Siurot s/n, 41013 Seville, Spain.
Acosta Delgado
D
D
Quijada
D
D
Navarro González
E
E
Soto Moreno
A
A
Gonzáles Duarte
D
D
del Valle López de Ayala
A
A
Astorga Jiménez
R
R
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000601:surgery; D000315:Adrenalectomy; D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D008854:Microscopy, Electron; D018813:Multiple Endocrine Neoplasia Type 2a / Q000150:complications*; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000601:surgery; D011256:Pregnancy Outcome