Document Detail

Pheochromocytoma in a pregnant woman with a history of intracerebral aneurysms.
MedLine Citation:
PMID:  15958874     Owner:  NLM     Status:  MEDLINE    
Pheochromocytoma in pregnancy is rare; if unrecognized, potentially fatal hypertensive crises may occur. We report a case of a 35-year-old woman with a history of two intracerebral aneurysms who presented at 26 weeks' gestation with tachycardia, hypertension, and pulmonary edema. Laboratory data revealed elevated 24-hour urinary catecholamine and metanephrine levels, and abdominal sonography showed a 10-cm right adrenal mass. After stabilization with phenoxybenzamine and metoprolol, cesarean section was successfully performed at 36 weeks' gestation. Postpartum abdominal computed tomography scanning confirmed a 10-cm right adrenal mass. A benign pheochromocytoma was removed without incident. This case illustrates the importance of early diagnosis and management of pheochromocytoma in pregnancy and is also an example of the rare association of pheochromocytoma with intracerebral aneurysms.
Shirley A Bembo; Andrew Elimian; Wayne Waltzer; Harold E Carlson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of the medical sciences     Volume:  329     ISSN:  0002-9629     ISO Abbreviation:  Am. J. Med. Sci.     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-06-16     Completed Date:  2005-07-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370506     Medline TA:  Am J Med Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  317-9     Citation Subset:  AIM; IM    
Department of Medicine, Division of Endocrinology, Diabetes and Metabolism, Stony Brook University, Stony Brook, New York 11794-8154, USA.
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MeSH Terms
Adrenal Gland Neoplasms / diagnosis*,  therapy
Antihypertensive Agents / therapeutic use
Hypertension / drug therapy,  etiology
Intracranial Aneurysm
Pheochromocytoma / diagnosis*,  therapy
Pregnancy Complications, Neoplastic / diagnosis*,  therapy
Reg. No./Substance:
0/Antihypertensive Agents

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