Extra-adrenal paraganglioma masquerading as severe preeclampsia

Paraganglioma in pregnancy is an extremely rare condition and its diagnosis is often delayed because the clinical symptoms can mimic those of preeclampsia or gestational hypertension. Here, we report the case of a 32-year-old, gravida 2, para 1 woman who presented with severe headache, palpitation,...

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Bibliographic Details
Published in:Obstetrics & gynecology science 2018, 61(4), 640, pp.520-523
Main Authors: Kim, Hyeon Ji, Yang, Shin Ho, Yang, Sun Hye, Han, Seung Su, Kim, Gwang Jun
Format: Article
Language:English
Subjects:
Case Report
hypertension
paraganglioma
preeclampsia
pregnancy
산부인과학
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Summary:Paraganglioma in pregnancy is an extremely rare condition and its diagnosis is often delayed because the clinical symptoms can mimic those of preeclampsia or gestational hypertension. Here, we report the case of a 32-year-old, gravida 2, para 1 woman who presented with severe headache, palpitation, and sweating at 37 weeks' gestation. Although emergent cesarean section was performed on the assumption of severe preeclampsia, blood pressure fluctuated and heart rate remained tachycardiac. We suspected that she might have thromboembolic lesion in the chest or pheochromocytoma. Chest and abdominal computed tomography revealed a 4 cm mass in the left para-aortic space. Serum and urinary catecholamine levels were found to be significantly increased. She underwent laparoscopic mass removal and the pathology confirmed paraganglioma. When typical paroxysmal hypertension is accompanied by headache, palpitation, and sweating during pregnancy, adrenal tumors should be considered.
ISSN:2287-8572
2287-8580
DOI:10.5468/ogs.2018.61.4.520