Une grossesse révélant un phéochromocytome bilatéral
DOI:
https://doi.org/10.54695/dss.51.01-02.2534Keywords:
Pheochromocytoma is a rare tumor responsible for paroxysmal arterial hypertension, which is difficult to control. Its diagnosis often allows to radically treat the arterial hypertension and to prevent long term complications. Few cases of pheochromocytoma arising in pregnant patients are rapported. They present both a diagnostic and therapeutic problem. We rapport the case of a 37 year-old parturient, who, during the 3rd trimester, presented arterial hypertension of 140/90 mmHg treated as severe toxaemia. The delivery was done by cesarian at the due date. Postoperative course was marked by epigastric pain and an anuria leading to a sudden coma with bilateral asymmetric mydriasis. She died one day postpartum. The autopsy which we conducted revealed two formations of both renal spaces, Pseudocystic hepatic and contained blood in which the anatomopathologic examination was in favor of a bilateral pheochromocytoma with an infiltration of extra-adrenal fat.Abstract
Pheochromocytoma is a rare tumor responsible for paroxysmal arterial hypertension, which is difficult to
control. Its diagnosis often allows to radically treat the arterial hypertension and to prevent long term complications.
Few cases of pheochromocytoma arising in pregnant patients are rapported. They present both a diagnostic and
therapeutic problem.
We rapport the case of a 37 year-old parturient, who, during the 3rd trimester, presented arterial hypertension
of 140/90 mmHg treated as severe toxaemia. The delivery was done by cesarian at the due date. Postoperative
course was marked by epigastric pain and an anuria leading to a sudden coma with bilateral asymmetric mydriasis.
She died one day postpartum.
