초록 열기/닫기 버튼
임신 중 갈색 세포종은 매우 드물지만 산모와 태아에 치명적인 결과를 가져올 수 있으므로 조기 진단 및 적절한 치료가 요구된다. 일단 임신 중에 고혈압이 있고, 혈압 변동이 심한 경우에는 갈색 세포종을 의심하는 것이 중요하다. 진단은 그리 어렵지 않으며 진단 시점에 따라 적절하게 치료하는 것이 중요하다.
Pheochromocytoma during pregnancy is very rarely discovered, and this condition is life threatening to both mother and fetus. Maternal and fetal survival depend a lot on an early diagnosis, a correct medical therapy and a correct timing of delivery and surgery. We describe a case of pheochromocytoma during pregnancy. A patient was transferred to our hospital during gestational week 24 with severe hypertension, generalized edema. Pheochromocytoma caused by a left adrenal mass was diagnosed. The patient was treated with titrated dose of phenoxybenzamine, propranolol, and intravenous nicardipine, but intermittent severe hypertension was developed. At 33 weeks gestation, fetal distress was developed, and emergent cesarean section was done. Two weeks after delivery, she underwent a successful left adrenalectomy. Two months after surgery, all antihypertensive medications were discontinued and her blood pressure have remained normal range.
키워드열기/닫기 버튼
Pheochromocytoma, Pregnancy
