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A rare cause of hypertension in pregnancy: Phaeochromocytoma

Sonali Shah1, Lindsay Edwards2, Andrew Robinson3

  • 1Department of Endocrinology, Austin and Mercy Health, Melbourne, Australia.

Obstetric Medicine
|July 7, 2017
PubMed

A 26-year-old primigravida at 35 weeks' gestation was transferred to our institution from a regional hospital for management of presumed preeclampsia. Due to the labile nature of her hypertension, further investigation was undertaken which revealed a right-sided phaeochromocytoma. Alpha blockade was commenced, and an uncomplicated elective caesarean delivery was performed at 38 weeks' gestation under spinal anaesthetic. The patient underwent an elective right laparoscopic adrenalectomy six weeks post-partum. This case highlights the importance of investigating young women for secondary causes of hypertension to avoid mislabelling as essential or gestational hypertension.

Keywords:
Hypertensionhigh-risk pregnancymaternal mortalityphaeochromocytoma

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