| Feocromocitoma en el embarazo: una serie de casos y revisión |
Pheochromocytoma in pregnancy: a case series and review.
Oliva R, Angelos P, Kaplan E, Bakris G.
Department of Medicine, University of Chicago Medical Center, 5841 S Maryland, MC 1027, Chicago, IL 60637, USA
Hypertension. 2010 Mar;55(3):600-6. Epub 2010 Jan 18.
Hypertensive disorders in pregnancy remain among the most understudied areas despite the recent advancement in medical care and management.1 Although most of this is ascribed to a pregnancy-specific disorder, preeclampsia, there is a paucity of data and few recommendations about another potentially disastrous hypertensive disorder, pheochromocytoma, a catecholamine producing tumor, with a reported incidence of <0.2 per 10 000 pregnancies.2 Despite its rarity, untreated pheochromocytomas carry a risk of mortality for both mother and fetus, as high as 58%.3 This may be attributed to several factors, such as the failure to detect the condition because of its extreme rarity, the tendency of these tumors to have varied presentations, and the fact that pregnancy may preclude certain imaging modalities and radioisotope testing.2,4,5 The enlarging uterus may also trigger tumor activity, in addition to the tendency for gravidas to undergo operative procedures on short notice.6 Thus, it is imperative that physicians who manage patients with pheochromocytoma familiarize themselves with special considerations in relation to pheochromocytoma during pregnancy. Focus should be directed toward understanding the indications of when women with chronic or de novo hypertension during gestation should undergo the special tests used to diagnose pheochromocytoma and how to manage the disease once diagnosed. This report surveys 6 pheochromocytomas managed at our institution, reviews the literature of pheochromocytomas, and presents recommendations on how to better suspect, detect, and manage these disorders in pregnant populations.
http://hyper.ahajournals.org/cgi/reprint/55/3/600 |
| Feocromocitoma en el embarazo: reporte de un caso y revisión de la literatura |
DRS. CASTILLO O, DÍAZ M, DÍAZ C, JARA M, SALINAS R.
Unidad de Urología, Clínica Santa María
Servicio de Urología, Ginecología y Anestesiología, Hospital Regional de Iquique
Departamento de Urología, Facultad de Medicina Oriente, Universidad de Chile
Revista Chilena de Urología Volumen 69 / N° 2 Año 2004
El feocromocitoma es raro como causa de hipertensión arterial, constituyendo una de las pocas formas curables de ésta. Su diagnóstico durante el embarazo es una eventualidad muy poco frecuente. Se comunica el caso de una mujer de 25 años, cursando embarazo de 22 semanas, en quien se diagnostica feocromocitoma en el estudio de un síndrome hipertensivo del embarazo, en quien no se logra un control adecuado de la presión arterial, resultando en un óbito fetal de 23 semanas. La paciente es sometida a una suprarrenalectomía laparoscópica que confirma el diagnóstico.
http://www.urologosdechile.cl/pdf.php?id=182 |
| Feocromocitoma asociado con embarazo |
Drs. Gesualdo Bufalino, Rafael Cortés Charry, Héctor Sosa, Francisco Yaremenco.
Departamento de Obstetricia y Ginecología. Hospital Universitario de Caracas. Universidad Central de Venezuela.
Rev Obstet Ginecol Venez 2007;67(3):206-211
Resumen.
Se comunica el caso de gestante de 22 años, controlada en la consulta de alto riesgo por diagnóstico de feocromocitoma, con control adecuado de las cifras de tensión arterial. Se realizó cesárea segmentaria más adrenalectomía a las 35 semanas; durante el acto operatorio presentó crisis hipertensiva de difícil manejo, por lo cual, se difirió la adrenalectomía. En el posoperatorio inmediato presentó atonía uterina que ameritó realizar histerectomía subtotal e inmediatamente adrenalectomía derecha. El estudio histopatológico confirmó el diagnóstico de feocromocitoma. El manejo multidisciplinario permitió una evolución favorable materno-fetal.
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| Feocromocitoma diagnosticado durante el trabajo de parto |
Phaeochromocytoma diagnosed during labour.
Strachan AN, Claydon P, Caunt JA.
Department of Anaesthesia, Northern General Hospital, Sheffield, UK.
Br J Anaesth. 2000 Oct;85(4):635-7.
Abstract
The diagnosis of phaeochromocytoma during pregnancy is rare. We present the management of vaginal delivery in a woman diagnosed with the condition during labour. A Medline search and follow-up of references failed to find any similar report in the last 30 years.
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