Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Case Report
  • Published:

Successful laparoscopic operation of bilateral pheochromocytoma in a patient with Beckwith-Wiedemann syndrome

Abstract

We report the case of a 20-year-old female patient with Beckwith-Wiedemann syndrome presenting with high blood pressure and bilateral adrenal pheochromocytoma successfully removed with laparoscopy in the same time. To our knowledge, the present case is the first observation of a bilateral pheochromocytoma occurring in the Beckwith-Wiedemann syndrome. It provides further support for a genetic anomaly in this condition. Our case also indicates the interest of laparoscopy for the surgical treatment of adrenal pheochromo- cytoma, even in bilateral tumors.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Wiedemann H . Tumours and hemihypertrophy associated with Wiedemann-Beckwith syndrome Eur J Pediatr 1983 141: 129 (letter to the editor)

    Article  Google Scholar 

  2. Debaun M, Tucker M . Risk of cancer during the first four years of life in children from the Beckwith-Wiedeman syndrome registry J Pediatr 1998 132: 398–400

    Article  CAS  Google Scholar 

  3. Schnakenburg KV et al. Congenital hemihypertrophy and malignant giant pheochromocytoma – a previously undescribed coincidence Eur J Pediatr 1976 122: 263–273 (abstract)

    Article  CAS  Google Scholar 

  4. Madeline L, Squire J, Weksberg R . Molecular genetics of Wiedemann-Beckwith syndrome Am J Med Genet 1998 79: 253–259

    Article  Google Scholar 

  5. Catchpoole D et al. Epigenetic modification and uniparental inheritance of H19 in Beckwith-Wiedemann syndrome J Med Genet 1997 34: 353–359

    Article  CAS  Google Scholar 

  6. Reincke M . Mutations in adrenocortical tumours Horm Metab Res 1998 30: 447–455

    Article  CAS  Google Scholar 

  7. Mugiya S, Suzuki K, Saisu K, Fujita K . Unilateral laparoscopic adrenalectomy followed by controlateral retroperitoneoscopic partial adrenalectomy in apatient with neoplasia type 2a syndrome J Endourol 1999 13: 99–104

    Article  CAS  Google Scholar 

  8. Pacak K . Recent advances in genetics, diagnosis, localization, and treatment of pheochromocytoma Ann Intern Med 2001 134: 315–329

    Article  CAS  Google Scholar 

  9. Godellas CV . Surgical approach to adrenal neoplasms: laparoscopy versus open adrenalectomy Surg Oncol Clin N Am 1998 7: 807–817

    Article  CAS  Google Scholar 

  10. Janetschek G . Surgical options in adrenalectomy: laparoscopy versus open surgery Curr Opin Urol 1999 9: 213–218

    Article  CAS  Google Scholar 

  11. Manger T et al. Bilateral laparoscopic transperitoneal adrenalectomy in pheochromocytoma Langenbecks Arch Chir 1997 282: 37–42

    Google Scholar 

  12. Gagner M, Breton G, Pharand D, Pomp A . Is laparoscopic adrenalectomy indicated for pheochromocytomas? Surgery 1996 120: 1076–1079

    Article  CAS  Google Scholar 

  13. Lam J et al. Bilateral pheochromocytoma: laparoscopic surgery in 2 cases Rev Med Chil 2001 129: 91–94

    CAS  PubMed  Google Scholar 

  14. Joris JL et al. Hemodynamic changes and catecholamine release during laparoscopic adrenalectomy for pheochromocytoma Anesth Analg 1999 88: 16–21

    CAS  PubMed  Google Scholar 

  15. Valat P, Gosse P, Roche A . Urapidil au cours de la chirurgie du phéochromocytome dès la phase opératoire Ann Fr Anesth Réanim 1996 15: 698–699

    Article  CAS  Google Scholar 

  16. Steib A et al. Utilisation de l'urapidil au cours de la chirurgie du phéochromocytome Ann Fr Anesth Réanim 1996 15: 142–148

    Article  CAS  Google Scholar 

  17. Walther MM, Herring J, Ckoyke PL, Linehan WM . Laparoscopic partial adrenalectomy inpatients with hereditary forms of pheochromocytoma World J Urol 1999 17: 48–53

    Article  Google Scholar 

  18. Radmayr C et al. Laparoscopic partial adrenalectomy for bilateral pheochromocytomas in a boy with von Hippel-Lindau disease Eur Urol 2000 38: 344–348

    Article  CAS  Google Scholar 

  19. Seregni E, Chiti A, Bombardieri E . Radionucleotide imaging of neuroendocrine tumours biological basis and diagnostic results Eur J Nucl Med 1998 25: 639–658

    Article  CAS  Google Scholar 

  20. Troncone L, Rufini V . Nuclear medicine therapy of pheochromocytoma Q J Nucl Med 1999 43: 344–355

    CAS  PubMed  Google Scholar 

  21. Jalil ND et al. Effectiveness and limits of preoperative imaging studies for pheochromocytomas and paragangliomas a review of 282 cases of surgery Eur J Surg 1998 164: 23–28

    Article  CAS  Google Scholar 

  22. van der Harst E et al. [(123)I]metaiodobenzylguanidine and [(111)In]octreotide uptake in begnign and malignant pheochromocytomas J Clin Endocrinol Metab 2001 86: 685–693

    CAS  PubMed  Google Scholar 

  23. Plouin P, Chatelier G, Fofol I, Corvol P . Tumor recurrence and hypertension persistence after successful pheochromocytoma operation Hypertension 1997 29: 1133–1139

    Article  CAS  Google Scholar 

  24. Plouin P et al. Plasma renin activity in phaechromocytoma: effects of beta-blockade and converting enzyme inhibition J Hypertens 1988 6: 579–585

    Article  CAS  Google Scholar 

  25. Vetter H et al. Renin and aldosterone secretion in pheochromocytoma Am J Med 1976 60: 866–871

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to P Gosse.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bémurat, L., Gosse, P., Ballanger, P. et al. Successful laparoscopic operation of bilateral pheochromocytoma in a patient with Beckwith-Wiedemann syndrome. J Hum Hypertens 16, 281–284 (2002). https://doi.org/10.1038/sj.jhh.1001378

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jhh.1001378

Keywords

This article is cited by

Search

Quick links