A Case of Pheochromocytoma during Pregnancy Missed Diagnosis as Preeclampsia | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 82, Volume 96, Issue 1, July 2024, Pages 2877-2879 PDF (236.03 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2024.374388 | ||
| Abstract | ||
| Background: Adrenal pheochromocytomas and extra-adrenal paragangliomas are rare tumors, with an incidence of 2-8 cases per million per year, often presenting with non-specific symptoms such as palpitations, headaches, and sweating. Objective: This study aimed todiagnose a case of pheochromocytoma during pregnancy. Material and methods: It is challenging due to the limitations of radiological imaging and the risks associated with invasive procedures. Biochemical testing for urinary and plasma metanephrines is essential. Management: It requires a multidisciplinary approach. The primary treatment is surgical removal, but this poses risks during pregnancy, including preterm labor. Control of blood pressure is crucial before considering surgery. Alpha-adrenergic blockers like phenoxybenzamine are typically used in non-pregnant patients, but their use in pregnancy is limited due to potential risks. Beta-blockers and labetalol are not recommended as standalone treatments. Conclusion: In this case, the plan was to manage blood pressure with calcium channel blockers, with surgical treatment deferred until after delivery. | ||
| Keywords | ||
| Pheochromocytoma; Pregnancy; Hypertension; Blood pressure; Calcium channel blockers; multidisciplinary approach; Adrenal tumors; Alpha-adrenergic blockers; Symptoms; Maternal and fetal safety | ||
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