Laparoscopic management of paraganglioma in a pregnant woman: a case report

ABSTRACT Introduction: Paraganglioma is an extremely rare catecholamine-producing tumor during pregnancy. Paraganglioma carries high risks of fetal and maternal mortality during pregnancy. We report a pregnant woman with paraganglioma in the second trimester. Case Description: A 24-year-old pregnant woman presented with severe hypertension in the 17th week of gestation. Hormonal examination and Magnetic Resonance Imaging (MRI) confirmed the diagnosis of extra adrenal pheochromocytoma (paraganglioma). She underwent laparoscopic tumor excision successfully. Conclusions: A high index of suspicion is needed to diagnose paraganglioma in a pregnant patient with hypertension. Laparoscopic tumor removal for paraganglioma seems to be a feasible and safe procedure during pregnancy.

摘要
引言：副神经节瘤（Paraganglioma）是妊娠期极为罕见的分泌儿茶酚胺的肿瘤，该疾病在妊娠期会显著升高胎儿与孕产妇的死亡风险。本文报告1例妊娠中期合并副神经节瘤的孕妇病例。
病例报告：1例24岁孕妇，于妊娠第17周出现重度高血压。经激素检测与磁共振成像（Magnetic Resonance Imaging，MRI）确诊为肾上腺外嗜铬细胞瘤（副神经节瘤）。患者成功接受腹腔镜肿瘤切除术。
结论：对于妊娠期高血压患者，需提高对副神经节瘤的诊断警惕性。妊娠期副神经节瘤患者行腹腔镜肿瘤切除术似乎是一种可行且安全的手术方案。