Moriyama N, Nishibuchi S, Nakamura N, Isomatsu Y, Okada K, Yada K, Tominaga T
Department of Urology, Fukui Medical School.
Hinyokika Kiyo. 1992 Nov;38(11):1243-7.
A case of pheochromocytoma discovered at pregnancy is reported. The patient was a 27-year-old woman who had no symptoms before pregnancy. A sudden hypertensive attack occurred during vaginal examination at the 36th week of pregnancy. Magnetic resonance imaging (MRI) and ultrasonography showed a right adrenal mass. The level of catecholamine in blood and urine was beyond the normal limit. This patient was diagnosed as pheochromocytoma with pregnancy. Cesarean section was immediately done to avoid hypertensive crisis caused by spontaneous delivery. Blood pressure and blood volume were controlled by an alpha-blocker for one month after delivery, and, then the tumor was removed surgically. Pheochromocytoma with pregnancy is life-threatening for the mother and the fetus because of difficult diagnosis and complex clinical features. Early diagnosis and appropriate treatment are mandatory. Pathophysiological characteristics and the treatment of such specified statics are mainly discussed through our successful achievement.
本文报告了一例在孕期发现的嗜铬细胞瘤病例。患者为一名27岁女性，孕前无症状。孕36周时阴道检查期间突然发生高血压发作。磁共振成像（MRI）和超声检查显示右肾上腺肿块。血液和尿液中的儿茶酚胺水平超出正常范围。该患者被诊断为妊娠合并嗜铬细胞瘤。立即行剖宫产以避免自然分娩引起的高血压危象。产后用α受体阻滞剂控制血压和血容量1个月，然后手术切除肿瘤。妊娠合并嗜铬细胞瘤因诊断困难和临床特征复杂，对母亲和胎儿均有生命危险。早期诊断和适当治疗至关重要。本文主要通过我们的成功病例讨论了此类特殊情况的病理生理特征及治疗方法。
