PP-04 Pheochromocytoma in pregnancy

Objective

Pheochromocytoma is a neuro-endocrine tumor which secretes catecholamine. It is rare in pregnancy.. In this case report; Diagnosis and management of pheochromocytoma in pregnancy is discussed.
 

Case

Our patient was referred to the emergency clinic at 33 weeks of pregnancy with preeclampsia. The blood pressure was measured at 190/100 mmHg and could not be controlled. Fetal growth restriction was also diagnosed. A 24-hour proteinuria test showed a result of 2 grams per day.We delivered via C-section due to fetal distress and uncontrollable blood pressure.The baby passed away in the neonatal intensive care unit due to complications arising from fetal growth restriction and died after 3 days.
 

Discussion

Pheochromocytoma is a neuro-endocrine tumor which secretes catecholamine. It is rare in pregnancy. Misdiagnosis as gestational hypertension or preeclampsia may cause delays in diagnosis. Increased catecholamine cause hypertension and life threathining complications.
Conclusion: Pheochromocytoma should be taken into consideration as a possible factor in cases of uncontrolled blood pressure during pregnancy.

Keywords

Hypertension, nueroendocrine tumor, pheochromocytoma, pregnancy

1. Pheochromocytoma in Pregnancy A Case Series and Review Raymond Oliva et all. Hypertension. 2010;55:600–606 

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