[Pheochromocytoma: rare lethal challenging diagnosis that may be encountered by gynecologists and obstetricians].
Pheochromocytomas are rare but potentially lethal tumors responsible for malignant hypertension. They may be encountered by gynecologists and obstetricians. The diagnosis is difficult because it can be mistaken for diseases more frequent like preeclampsia or other pelvic tumors. We report two cases highlighting clinical clues such as labile hypertension, headache, sweating, palpitations and failure to respond to conventional treatment should prompt physicians to screen patients for pheochromocytoma by measuring the 24-hour urinary catecholamines. The surgery must be performed after using an appropriate preoperative treatment, in order not to trigger lethal outcome. During pregnancy, C-section is recommended.
Service de gynécologie-obstétrique, CHU de Dijon, 6 boulevard Maréchal-de-Lattre-de-Tassigny, Dijon, France. cecile.choux@gmail.com
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C
Choux
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B
Vergès
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JP
Isnardon
J-M
JM
Rousselet
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Douvier
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P
Sagot
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology; D000328:Adult; D003937:Diagnosis, Differential; D005113:Extraction, Obstetrical; D017809:Fatal Outcome; D005260:Female; D006176:Gynecology / Q000639:trends; D006801:Humans; D046110:Hypertension, Pregnancy-Induced / Q000175:diagnosis / Q000401:mortality; D007231:Infant, Newborn; D009774:Obstetrics / Q000639:trends; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000401:mortality