Laparoscopic management of paraganglioma in a pregnant woman: a case report

Paraganglioma is an extremely rare catecholamine-producing tumor during pregnancy. Paraganglioma carries high risks of fetal and maternal mortality during pregnancy. We report a pregnant woman with paraganglioma in the second trimester. A 24-year-old pregnant woman presented with severe hypertension...

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Bibliographic Details
Published inInternational Brazilian Journal of Urology Vol. 44; no. 5; pp. 1032 - 1035
Main Authors Radfar, Mohammad Hadi, Shakiba, Behnam, Afyouni, Amir, Hoshyar, Hassan
Format Journal Article
LanguageEnglish
Published Brazil Sociedade Brasileira de Urologia 01.10.2018
Subjects
Challenging Clinical Cases
Female
Humans
Hypertension - etiology
Laparoscopy
Magnetic Resonance Imaging
Paraganglioma
Pheochromocytoma - diagnostic imaging
Pheochromocytoma - surgery
Pregnancy
Pregnancy Complications, Neoplastic - diagnostic imaging
Pregnancy Complications, Neoplastic - surgery
Pregnancy Trimester, Second
Pregnant Women
Young Adult
Paraganglioma
Laparoscopy
Pregnant Women
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Summary:Paraganglioma is an extremely rare catecholamine-producing tumor during pregnancy. Paraganglioma carries high risks of fetal and maternal mortality during pregnancy. We report a pregnant woman with paraganglioma in the second trimester. A 24-year-old pregnant woman presented with severe hypertension in the 17th week of gestation. Hormonal examination and Magnetic Resonance Imaging (MRI) confirmed the diagnosis of extra adrenal pheochromocytoma (paraganglioma). She underwent laparoscopic tumor excision successfully. A high index of suspicion is needed to diagnose paraganglioma in a pregnant patient with hypertension. Laparoscopic tumor removal for paraganglioma seems to be a feasible and safe procedure during pregnancy.
Bibliography:CONFLICT OF INTEREST
None declared.
ISSN:1677-5538
1677-6119
1677-6119
DOI:10.1590/S1677-5538.IBJU.2017.0698