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Published on: September 15, 2017
Phaeochromocytoma causing acute pulmonary oedema during emergency caesarean section
J R Golshevsky1, K Karel, G Teale
1Department ofAnaesthesia, Goulbum Valley Health, Shepparton, Victoria, Australia. Jonathan.Golshevsky@svhm.org.au
Abstract:
We report a case of severe acute pulmonary oedema following induction of general anaesthesia for emergency caesarean section. After several hours of aggressive resuscitation, both mother and child had a favourable outcome. Postoperative investigation of acute renal failure demonstrated a supra-adrenal mass. Further investigation confirmed bilateral phaeochromocytoma as the cause of her condition. A literature review confirmed this to be a rare but important clinical entity, owing to its high mortality. Antenatal diagnosis greatly improves survival. Magnesium sulphate appears to be a useful and safe agent to employ in cases of undiagnosed hypertensive obstetric emergencies.
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