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剖宫产术后嗜铬细胞瘤

Pheochromocytoma after Cesarean Section.

作者信息

Naghshineh Elham, Shahraki Azar Danesh, Sheikhalian Somaye, Hashemi Leila

机构信息

Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Prev Med. 2016 Mar 10;7:60. doi: 10.4103/2008-7802.178534. eCollection 2016.

Abstract

Pheochromocytoma is a catecholamine-producing tumor. There are a very few reported cases of clinical pheochromocytoma. Here, we report a 27-year-old woman para 1 live 1 with chief complaint of headache, confusion, nausea, and vomiting 2 days after cesarean section. She was anxious and had palpitation. On physical examination, fever, tachycardia, tachypnea, high blood pressure, and right thyroid nodule were found. She was managed as pregnancy-induced hypertension at first. In laboratory data, epinephrine, norepinephrine, metanephrine, normetanephrine, and vanillylmandelic acid were increased in 24 h urine collection. An adrenal mass was detected in abdominal computed tomography. Regarding clinical and paraclinical findings, pheochromocytoma was diagnosed. The patient received medical treatment, but it was not effective; hence, she underwent adrenalectomy.

摘要

嗜铬细胞瘤是一种分泌儿茶酚胺的肿瘤。临床嗜铬细胞瘤的报道病例非常少。在此,我们报告一名27岁经产妇,顺产1次,剖宫产术后2天,主要症状为头痛、意识模糊、恶心和呕吐。她焦虑且有心悸。体格检查发现发热、心动过速、呼吸急促、高血压和右侧甲状腺结节。起初她被诊断为妊娠高血压。实验室检查数据显示,24小时尿中肾上腺素、去甲肾上腺素、间甲肾上腺素、去甲间甲肾上腺素和香草扁桃酸水平升高。腹部计算机断层扫描检测到肾上腺肿块。综合临床和辅助检查结果,诊断为嗜铬细胞瘤。患者接受了药物治疗,但无效,因此接受了肾上腺切除术。

相似文献

1
Pheochromocytoma after Cesarean Section.剖宫产术后嗜铬细胞瘤
Int J Prev Med. 2016 Mar 10;7:60. doi: 10.4103/2008-7802.178534. eCollection 2016.
8
A Case Report of Cystic Pheochromocytoma.囊性嗜铬细胞瘤病例报告
Am J Case Rep. 2017 Jul 25;18:826-829. doi: 10.12659/ajcr.905042.

本文引用的文献

1
Pheochromocytoma in pregnancy: a case series and review.妊娠期嗜铬细胞瘤:病例系列报道与文献综述
Hypertension. 2010 Mar;55(3):600-6. doi: 10.1161/HYPERTENSIONAHA.109.147579. Epub 2010 Jan 18.
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A diagnosis not to miss: pheochromocytoma during pregnancy.不可漏诊的疾病:妊娠期嗜铬细胞瘤
J Neurol. 2007 Nov;254(11):1612-3. doi: 10.1007/s00415-007-0605-9. Epub 2007 Oct 1.
8
Pheochromocytoma: presentation, diagnosis and treatment.嗜铬细胞瘤:临床表现、诊断与治疗
J Hypertens. 2006 Dec;24(12):2331-9. doi: 10.1097/01.hjh.0000251887.01885.54.
9
[Pheochromocytoma and pregnancy. Case report].[嗜铬细胞瘤与妊娠。病例报告]
Gynecol Obstet Fertil. 2006 Apr;34(4):323-5. doi: 10.1016/j.gyobfe.2005.12.027. Epub 2006 Mar 29.
10
Genetic testing for pheochromocytoma-associated syndromes.嗜铬细胞瘤相关综合征的基因检测。
Ann Endocrinol (Paris). 2005 Jun;66(3):178-85. doi: 10.1016/s0003-4266(05)81749-4.

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