RESUMO
Pheochromocytoma during pregnancy is a very rare condition; fewer than 200 cases have been reported in the literature. We present the case of a 24-year-old pregnant woman found to have a pheochromocytoma during investigation of abdominal pain. This is the second reported case of laparoscopic adrenalectomy for pheochromocytoma detected during pregnancy. After appropriate radiologic investigation and medical management, a laparoscopic left adrenalectomy was performed at the beginning of the second trimester. There were no complications, and she was delivered of a healthy baby at term. We review the management of pheochromocytoma in pregnant patients and discuss the role of laparoscopy.
Assuntos
Neoplasias das Glândulas Suprarrenais/cirurgia , Adrenalectomia/métodos , Laparoscopia/métodos , Feocromocitoma/cirurgia , Complicações Neoplásicas na Gravidez/cirurgia , Neoplasias das Glândulas Suprarrenais/complicações , Adulto , Feminino , Humanos , Procedimentos Cirúrgicos Minimamente Invasivos , Gravidez , Segundo Trimestre da Gravidez , Fatores de TempoAssuntos
Colecistectomia Laparoscópica/efeitos adversos , Hérnia Ventral/etiologia , Hérnia Ventral/cirurgia , Colecistectomia Laparoscópica/instrumentação , Fasciotomia , Feminino , Hérnia Ventral/diagnóstico por imagem , Humanos , Pessoa de Meia-Idade , Punções , Recidiva , Instrumentos Cirúrgicos , Tomografia Computadorizada por Raios XRESUMO
Technological advancements have refined laparoscopic surgery and expanded its application to include many disease processes and organs. As next-generation instruments become smaller (<5 mm), secondary benefits such as cosmesis, patient satisfaction, and decreased postoperative analgesic requirements are being realized. Urachal anomalies are rare, and their management is evolving from total radical open, to needlescopic (