Pheochromocytoma in Pregnancy: A Syndromic Association

Agrawal, Kanhaiyalal; Walia, Rama; Jayant, Satyam Singh; Das, Liza; Chaudhary, Shakun; Suri, Vanita; Bhadada, Sanjay Kumar

doi:10.1007/s13224-021-01532-8

Cited by 2 publications

(6 citation statements)

References 17 publications

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“…So, the timely evaluation and surgical intervention for pheochromocytoma avoid lethal consequences. 8 …”

Section: Discussionmentioning

confidence: 99%

“…All three newborns were small for gestational age, while one neonate expired due to intra‐cardiac rhabdomyoma. So, the timely evaluation and surgical intervention for pheochromocytoma avoid lethal consequences 8 …”

Section: Discussionmentioning

confidence: 99%

“…So, the timely evaluation and surgical intervention for pheochromocytoma avoid lethal consequences. 8 A review of the literature has shown that 10% of pheochromocytomas are bilateral, 10% of them are extraadrenal in origin, and 10% are malignant. They may be part of multiple endocrine neoplasia (MEN type 2A) syndrome, and if it is the case, the patient should be screened for medullary cell carcinoma of the thyroid and parathyroid adenomas by measuring serum calcitonin and parathyroid hormone levels, respectively.…”

Section: Discussionmentioning

confidence: 99%

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Intrapartum adrenalectomy for pheochromocytoma presenting in pregnancy: A case report

Naseef

2023

Clinical Case Reports

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Pheochromocytoma is one of the rare causes of hypertension in pregnancy, occurring in one in every 50,000 pregnancies. The aim of this case report is to describe an atypical presentation of pheochromocytoma at 35 weeks gestation, where it presented with right flank pain and seizures, its preoperative medical optimization, and intrapartum concurrent surgical management. It also discusses various clinical presentations of pheochromocytoma in pregnancy, appropriate laboratory and radiological investigations, and different modalities of treatment. It is important to consider the possibility of the diagnosis of pheochromocytoma when considering the different causes of high blood pressure in a term pregnancy. Prompt antenatal diagnosis and timely management are critical to reducing maternal and perinatal morbidity and mortality rates.

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“…So, the timely evaluation and surgical intervention for pheochromocytoma avoid lethal consequences. 8 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Intrapartum adrenalectomy for pheochromocytoma presenting in pregnancy: A case report

Naseef

2023

Clinical Case Reports

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“…But if diagnosed late in pregnancy, elective CS must be planned as labor and vaginal delivery can precipitate hypertensive crisis. 5 Peripartum cardiomyopathy is a rare cause of heart failure that occurs toward the end of pregnancy and in the early postpartum period. Diagnosed on the basis of diagnostic criteria: heart failure developing towards the end of pregnancy or up to 5 months postpartum, absence of another identifiable cause of cardiac failure, absence of cardiac symptoms prior to late pregnancy, left ventricular dysfunction defined by an ejection fraction of less than 45%.…”

Section: Case Reportmentioning

confidence: 99%

“…For pheochromocytoma, goals are to maintain blood pressure, restore intravascular volume, avoid factors that cause catecholamine surge and maintain hemodynamic stability. 5 For peripartum cardiomyopathy; in order to maintain cardiac output, avoid increase in afterload, maintain preload and contractility and to reduce myocardial work. Goal is to avoid tachycardia and arrhythmias.…”

Section: Case Reportmentioning

confidence: 99%

Anesthetic management of a patient with pheochromocytoma and peripartum cardiomyopathy for cesarean section

Ayesha,

Khan,

Sikander

et al. 2023

Anaesth. pain intensive care

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Pheochromocytoma and peripartum cardiomyopathy is associated with significant maternal mortality. Cause of death can be heart failure, myocardial infarction, arrhythmias and thromboembolism. Pheochromocytoma can be one of the causes of dilated cardiomyopathy. Anesthesia in an obstetric patient with pheochromocytoma and peripartum cardiomyopathy is challenging. Early diagnosis and a multidisciplinary management is required to improve outcome. Elective cesarean section must be planned and epidural anesthesia should be the preferred technique. We present a case of 34 y old female patient with pheochromocytoma and peripartum cardiomyopathy who underwent cesarean section under epidural anesthesia and had uneventful recovery. Key words: Pheochromocytoma; Peripartum Cardiomyopathy; Cesarean Section; Epidural Anesthesia Citation: Ayesha K, Khan J, Sikander RI, Fatima N. Anesthetic management of a patient with pheochromocytoma and peripartum cardiomyopathy for cesarean section. Anaesth. pain intensive care 2023;27(4):596−599. DOI: 10.35975/apic.v27i4.2208 Received: April 16, 2023; Reviewed: May 09, 2023; Accepted: June 06, 2023

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Pheochromocytoma in Pregnancy: A Syndromic Association

Cited by 2 publications

References 17 publications

Intrapartum adrenalectomy for pheochromocytoma presenting in pregnancy: A case report

Intrapartum adrenalectomy for pheochromocytoma presenting in pregnancy: A case report

Anesthetic management of a patient with pheochromocytoma and peripartum cardiomyopathy for cesarean section

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