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Refractory hypotension during spinal anesthesia for Cesarean delivery due to undiagnosed pheochromocytoma

Rebecca L Johnson1, Katherine W Arendt1, Carl H Rose2

  • 1Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.

Journal of Clinical Anesthesia
|August 31, 2013
PubMed

Profound hypotension and resistance to conventional vasopressor therapy following administration of spinal anesthesia for Cesarean delivery occurred in a multiparous parturient. Postpartum evaluation for secondary hypertension showed a diagnosis of pheochromocytoma. Pheochromocytoma was mistaken for preeclampsia with significant vasopressor requirement to treat hypotension from spinal anesthesia. If pheochromocytoma is diagnosed during pregnancy and Cesarean delivery is required, spinal anesthesia may not be the optimal choice of anesthesia.

Keywords:
Anesthesia: obstetricalCesarean sectionHypotensionPheochromocytomaPregnancy-induced hypertensionSpinal anesthesia

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