Yang Y C, Liu G L, Zhou J W, Hu H, Shen D H
Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing 100044, China.
Department of Urology, Peking University People's Hospital, Beijing 100044, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2016 Apr 18;48(2):370-2.
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.
嗜铬细胞瘤在孕期罕见。对北京大学人民医院1例孕期嗜铬细胞瘤患者的临床特征进行了调查，并复习相关文献以探讨该病的诊断与治疗。该患者表现为高血压和蛋白尿，易被误诊为妊娠期高血压疾病。转入我院时，发现患者有阵发性心悸、头晕、呕吐等症状，因其伴有腹部肿块而考虑嗜铬细胞瘤的可能。在疾病治疗期间，因早产成功实施了急诊剖宫产。产后继续药物准备。血压稳定后进行了嗜铬细胞瘤的腹腔镜切除术。术后患者完全康复。病理检查确诊为嗜铬细胞瘤。其诊断和治疗经验有助于提高我们对孕期嗜铬细胞瘤所致继发性高血压的认识和治疗水平。
