[Management of pheochromocytoma during pregnancy: about three cases]. / Prise en charge du phéochromocytome au cours de la grossesse: à propos de trois cas.

ABSTRACT

BACKGROUND: Pheochromocytoma is a rare disease that can be diagnosed for the first time during pregnancy. Diagnosis is difficult because it can mimic common gravid hypertension. Maternal and fetal prognosis depends on early diagnosis and adequate multidisciplinary management. AIM: We report 3 cases of pregnant patients with pheochromocytoma. CASES For the first patient, diagnosis was made before pregnancy and pheochromocytoma was treated surgically at 20 weeks of pregnancy with good evolution. The second patient was hospitalized in a severe preeclampsia, acute pulmonary edema and fetal demise with fatal outcome. Pheochromocytoma was diagnosed during autopsy. The third patient had medical abortion of pregnancy because of tumor recurrence after surgical treatment. Rare association to pregnancy and clinical signs of pheochromoytoma as hypertension renders diagnosis difficult. A systematic etiology research to early hypertension during pregnancy can allow better screening of pheochromocytoma and improvement of foeto-maternal prognosis.