Laparoscopic approach to pheochromocytoma in pregnancy: case report
Paula, Felipe de Almeida e, Santos Junior, Ravisio Israel dos, Ferruzzi, Odivaldo Antonio, Melo, Rafael Osti de, Takaku, Mariana
Int. braz j urol.
DATA DE PUBLICAÇÃO
ABSTRACT A 32-year-old 22-week pregnant hypertensive woman with sporadic episodes of headaches, sweating, and facial flushing was diagnosed with pheochromocytoma through biochemical and imaging tests. Perioperative management included a multidisciplinary approach, symptom stabilization with α blockade followed by β blockade, and tumor resection by laparoscopic adrenalectomy at 24 weeks gestation. The diagnosis was confirmed by histopathological examination and immuno-histochemistry tests. The decision for surgical removal of the tumor was based on maternal symptoms, tumor size, gestational age, the possibility of doing a laparos-copy, and the expertise of the surgical team.