妊娠合并嗜铬细胞瘤1例

Diagnosis and treatment of pheochromocytoma in pregnancy: a case report

1病例资料 患者,女性,27岁,平素月经规律,末次月经2014年1月6日,预产期2014年10月13日。停经8周出现恶心、呕吐等早孕反应,较剧烈,持续至孕4个月,于当地医院查尿酮体间断阳性,予补液等治疗后好转。

Pheochromocytoma is rare in pregn＇ancy. Clinical features of a case of pheochromocytoma during pregnancy in the Peking University People＇s Hospital was investigated and the literature reviewed to discuss the diagnosis and treatment of this disease. The patient manifested with hypertension and proteinuria,who was easily misdiagnosed with gestational hypertension disease. When she was transferred to our hospital,the symptoms such as,paroxysmal palpitation,dizziness,vomiting were noticed,and the possibility of pheochromocytoma was considered due to the accompanying abdominal mass. An emergent cesarean section was performed successfully due to preterm labor during the treatment of the disease. After the delivery the drug preparation continued. And the laparoscopic resection of pheochromocytoma proceeded when the blood pressure was steady. The patient recovered fully after the surgery. The final diagnosis of pheochromocytoma was confirmed with the pathology. Its diagnosis and treatment experiences could improve our understanding and treatment of secondary hypertension due to pheochromocytoma in pregnancy.