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タイトル: | 妊娠を契機に発見された褐色細胞腫の1例 |
その他のタイトル: | Pheochromocytoma discovered in a pregnant woman: a case report |
著者: | 守山, 典宏 西淵, 繁夫 中村, 直博 磯松, 幸成 岡田, 謙一郎 矢田, 敬二 富永, 敏朗 |
著者名の別形: | Moriyama, Norihiro Nishibuchi, Shigeo Nakamura, Naohiro Isomatsu, Yukishige Okada, Kenichiro Yada, Keiji Tominaga, Toshiro |
キーワード: | Pheochromocytoma Pregnancy |
発行日: | Nov-1992 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 38 |
号: | 11 |
開始ページ: | 1243 |
終了ページ: | 1247 |
抄録: | A case of pheochromocytoma discovered at pregnancy is reported. The patient was a 27-year-old woman who had no symptoms before pregnancy. A sudden hypertensive attack occurred during vaginal examination at the 36th week of pregnancy. Magnetic resonance imaging (MRI) and ultrasonography showed a right adrenal mass. The level of catecholamine in blood and urine was beyond the normal limit. This patient was diagnosed as pheochromocytoma with pregnancy. Cesarean section was immediately done to avoid hypertensive crisis caused by spontaneous delivery. Blood pressure and blood volume were controlled by an alpha-blocker for one month after delivery, and, then the tumor was removed surgically. Pheochromocytoma with pregnancy is life-threatening for the mother and the fetus because of difficult diagnosis and complex clinical features. Early diagnosis and appropriate treatment are mandatory. Pathophysiological characteristics and the treatment of such specified statics are mainly discussed through our successful achievement. |
URI: | http://hdl.handle.net/2433/117706 |
PubMed ID: | 1485574 |
出現コレクション: | Vol.38 No.11 |
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