Current surgical management of pheochromocytoma during pregnancy

The diagnosis of pheochromocytoma during pregnancy has rarely been made correctly prior to delivery, only 42 cases having been reported. Antepartum diagnosis markedly decreases the maternal and fetal mortality. We report a case of pheochromocytoma manifesting during the third trimester of pregnancy....

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Bibliographic Details
Published inArchives of surgery (Chicago. 1960) Vol. 115; no. 10; p. 1224
Main Authors Fudge, T L, McKinnon, W M, Geary, W L
Format Journal Article
LanguageEnglish
Published United States 01.10.1980
Subjects
Adrenal Gland Neoplasms - diagnosis
Adrenal Gland Neoplasms - surgery
Adult
Cesarean Section
Female
Humans
Infant, Newborn
Pheochromocytoma - diagnosis
Pheochromocytoma - surgery
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - surgery
Pregnancy Trimester, Third
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Summary:The diagnosis of pheochromocytoma during pregnancy has rarely been made correctly prior to delivery, only 42 cases having been reported. Antepartum diagnosis markedly decreases the maternal and fetal mortality. We report a case of pheochromocytoma manifesting during the third trimester of pregnancy. Preoperative control of blood pressure with phenoxybenzamine and phentolamine therapy was carried out. Simultaneous cesarean section and excision of the tumor resulted in a healthy mother and newborn infant. We review the perioperative and intraoperative management of patients with a pheochromocytoma during pregnancy.
ISSN:0004-0010
1538-3644
DOI:10.1001/archsurg.1980.01380100068016