Robotic Paraganglioma Resection In A Pregnant Patient

Autor: Patricia Y. Chu, MD, MHSc, Margaret L. Burks, MD, Carmen C. Sólorzano, MD, Shichun Bao, MD, PhD
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: AACE Clinical Case Reports, Vol 6, Iss 5, Pp e197-e200 (2020)
Druh dokumentu: article
ISSN: 2376-0605
DOI: 10.4158/ACCR-2019-0558
Popis: ABSTRACT: Objective: Functional paragangliomas in pregnancy are rare; however, if not recognized and treated early, they can be life-threatening. New treatment approaches with robotic resection are promising. Methods: We present a case of a pregnant female with a paraganglioma which was successfully resected during the second trimester using Da Vinci Xi robotic system. Paraganglioma was diagnosed with plasma and urinary catecholamines and metanephrines, a contrast computed tomography (CT) scan, and confirmed with surgical pathology. Results: The patient was initially seen in the emergency room prior to the index pregnancy for nausea, vomiting, and intermittent, left lower quadrant abdominal pain, episodic sweating, palpitations, and anxiety. CT scan of the abdomen and pelvis showed a 4.8 × 4.3 cm heterogeneously enhancing mass in the left retroperitoneum adjacent to the aorta just below the left adrenal gland. She had normal plasma metanephrines but elevated plasma normetanephrines of 7.12 nmol/L (normal,
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