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

Abstract

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.

Management of pheochromocytoma during pregnancy. A multidisciplinary challenge: A case reports

“…In this paper, we describe a case of 31 years old patient, pregnant at 20 weeks' gestation was operated on with success after a appropriate and early diagnosis was obtained. Our case study well demonstrates that multidisciplinary approach is crucial involving all intervening staff including endocrinologists, anesthesiologists, surgeons and gynecologists [ 3 ]. This case has been reported in line with SCARE criteria [ 4 ].…”