Resumen

MENEAU PENA, Teresa Xiomara  y  NUNEZ GARCIA, Mirta Victoria. Hypertension, hypernephroma and pregnancy: A case presentation. Rev Cubana Obstet Ginecol [online]. 2006, vol.32, n.1. ISSN 0138-600X.

The case of a pregnant woman with personal pathological history of light blood hypertension and severe toxemia in her last pregnancy together with hypertensive pathological antecedents of her family was presented in this paper. Her last pregnancy in 1995 presented with severe toxemia, so termination of gestation was decided on for the benefit of the mother through Rivanol´s method at 29 weeks of gestation. The clinical picture of the patient included hyperuricemia, oligoanuria, epigastralgia, hyperreflexia and severe oligohydramnios. In the course of her present 12-week pregnancy, and as part of the study of possible hypertensive etiologies, a renal tumor was detected on physical exam and confirmed by ultrasonography as a solid tumor located in her left kidney, which covered two thirds of this organ. It was decided again to terminate the pregnancy due to a suspected hypernephroma that was confirmed by CAT. The patient was performed left nephrectomy, ganglionar metastasis was not found and the diagnosis was confirmed by pathological anatomy. Presently, hepatic and ganglionic ultrasound-based follow up did not reflect relapses in this disease.

Palabras clave : blood hypertension; pregnancy; hypernephroma; CAT.

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