Pheochromocytomas are catecholamine-secreting tumors that can lead to paroxysmal hypertension. These tumors are rare in pregnancy, but early diagnosis is important for improved maternal and fetal outcomes. Multidisciplinary management is essential and timing of resection depends on the gestational age at diagnosis. Primary goals include avoidance of a hypertensive crisis during delivery and definitive surgical resection. Cesarean delivery is the preferred mode in patients with an unresected pheochromocytoma and can be accomplished safely with general anesthesia, epidural anesthesia, or combined epidural-general anesthesia. The neonate and patient should be monitored closely in the postoperative period.
KeywordsPheochromocytoma Pregnancy Hypertension Adrenal gland neoplasm Preeclampsia Anesthesia Catecholamines Paraganglioma
Multiple endocrine neoplasia
Magnetic resonance imaging
- 2.Chen H, Sippel RS, O'Dorisio MS, Vinik AI, Lloyd RV, Pacak K. The North American Neuroendocrine Tumor Society consensus guideline for the diagnosis and management of neuroendocrine tumors: pheochromocytoma, paraganglioma, and medullary thyroid cancer. Pancreas. 2010;39(6):775–83.CrossRefGoogle Scholar