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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| Format: | Article |
| Language: | English |
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Korean Society of Obstetrics and Gynecology
2018-07-01
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| Series: | Obstetrics & Gynecology Science |
| Subjects: | |
| Online Access: | http://ogscience.org/upload/pdf/ogs-61-520.pdf |
| _version_ | 1818260451304144896 |
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| author | Hyeon Ji Kim Shin Ho Yang Sun Hye Yang Seung Su Han Gwang Jun Kim |
| author_facet | Hyeon Ji Kim Shin Ho Yang Sun Hye Yang Seung Su Han Gwang Jun Kim |
| author_sort | Hyeon Ji Kim |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T18:31:32Z |
| format | Article |
| id | doaj.art-2a3db1cf25e74548b7b6690835631b71 |
| institution | Directory Open Access Journal |
| issn | 2287-8572 2287-8580 |
| language | English |
| last_indexed | 2024-12-12T18:31:32Z |
| publishDate | 2018-07-01 |
| publisher | Korean Society of Obstetrics and Gynecology |
| record_format | Article |
| series | Obstetrics & Gynecology Science |
| spelling | doaj.art-2a3db1cf25e74548b7b6690835631b712022-12-22T00:15:55ZengKorean Society of Obstetrics and GynecologyObstetrics & Gynecology Science2287-85722287-85802018-07-0161452052310.5468/ogs.2018.61.4.520516Extra-adrenal paraganglioma masquerading as severe preeclampsiaHyeon Ji Kim0Shin Ho Yang1Sun Hye Yang2Seung Su Han3Gwang Jun Kim4Department of Obstetrics and Gynecology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, .KoreaParaganglioma 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.http://ogscience.org/upload/pdf/ogs-61-520.pdfparagangliomahypertensionpreeclampsiapregnancy |
| spellingShingle | Hyeon Ji Kim Shin Ho Yang Sun Hye Yang Seung Su Han Gwang Jun Kim Extra-adrenal paraganglioma masquerading as severe preeclampsia Obstetrics & Gynecology Science paraganglioma hypertension preeclampsia pregnancy |
| title | Extra-adrenal paraganglioma masquerading as severe preeclampsia |
| title_full | Extra-adrenal paraganglioma masquerading as severe preeclampsia |
| title_fullStr | Extra-adrenal paraganglioma masquerading as severe preeclampsia |
| title_full_unstemmed | Extra-adrenal paraganglioma masquerading as severe preeclampsia |
| title_short | Extra-adrenal paraganglioma masquerading as severe preeclampsia |
| title_sort | extra adrenal paraganglioma masquerading as severe preeclampsia |
| topic | paraganglioma hypertension preeclampsia pregnancy |
| url | http://ogscience.org/upload/pdf/ogs-61-520.pdf |
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