A Misleading Presentation of Pheochromocytoma in Pregnancy: A Case Report.

摘要: Pheochromocytoma is a catecholamine-secreting adrenal tumor and also rare cause of secondary hypertension in pregnancy. Its low prevalence, nonspecific clinical presentation, symptoms similar to preeclampsia generate diagnostic challenge during A 23-year-old hypertensive pregnant woman at 36th gestational week her first pregnancy was admitted with severe (210/150 mmHg), headache proteinuria that made us presume the case as preeclampsia. In spite starting maximum doses antihypertensive medications like IV labetolol,and oral nifedipine, loading dose an anticonvulsant drug, magnesium sulphate, persisted. Keeping view risks involved mother fetus, we delivered baby by emergency cesarean section. postoperative period, along uncontrolled hypertension, she developed tremors, palpitation, sweating all led further workup for causes hypertension. Eventually, diagnosis pheochromocytoma confirmed abdominopelvic contrast- enhanced computed tomography increased 24-hour urine metanephrine, normetanephrine, vanillylmandelic acid levels. Subsequently, suppression achieved multidisciplinary approach, then underwent laparoscopic adrenalectomy. This highlights importance maintaining high index suspicion approach while investigating young women, thereby differentiating it from