Surgical and anesthetic management of paraganglioma diagnosed in a 2nd trimester parturient: Case report.

Autor: Aftiss F; Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco., El Mezzeoui S; Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco., El Aidouni G; Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco., Merbouh M; Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco., Nasri S; Department of Radiology, Mohamed VI University Hospital Center, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Oujda, Morocco., Jabi R; Department of General Surgery, Mohamed VI University Hospital Center, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Oujda, Morocco., Bkiyar H; Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Oujda, Morocco.; Oujda Medical Simulation Training Center, Morocco., Skikar I; Department of Radiology, Mohamed VI University Hospital Center, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Oujda, Morocco., Bouziane M; Department of General Surgery, Mohamed VI University Hospital Center, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Oujda, Morocco., Housni B; Intensive Care Unit, Mohammed VI University Hospital Center, Oujda, Morocco.; Faculty of Medicine and Pharmacy, Oujda, Morocco.; Oujda Medical Simulation Training Center, Morocco.
Jazyk: angličtina
Zdroj: Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2021 Nov 22; Vol. 72, pp. 103094. Date of Electronic Publication: 2021 Nov 22 (Print Publication: 2021).
DOI: 10.1016/j.amsu.2021.103094
Abstrakt: Introduction: Neuroendocrine tumors represent a rare entity whose diagnosis is based on clinical, biological and radiological arguments. When they are secreting, they expose the patient to serious complications that can be much more severe during pregnancy and engage the vital prognosis of both the mother and the fetus, which requires multidisciplinary management: anesthesiologist resuscitator - obstetrician - endocrinologist.
Case Presentation: In our article, we report the case of a patient with an estimated pregnancy at 25 weeks of amenorrhea (WA) with a history of 3 miscarriages related to atypical gravid hypertension.The treatment consisted of preoperative medical preparation followed by removal of the paraganglioma and postoperative monitoring. The maternal-fetal evolution was favorable.
Conclusion: The non-negligible morbi-mortality of this type of tumors require a multidisciplinary management.
Competing Interests: They have no conflicts of interest for this report.
(© 2021 The Authors.)
Databáze: MEDLINE