Undiagnosed phaeochromocytoma masquerading as eclampsia

摘要: The authors report the case of a previously well 34-year-old woman presenting with hypertensive crises and grand-mal seizure following elective caesarean section. Initial treatment extreme hypertension, presumed eclamptic aetiology, magnesium labetalol was complicated by intermittent profound hypotensive episodes. This accompanied severe biventricular failure fluctuating systemic vascular resistance. Abdominal ultrasound revealed left suprarenal mass. A diagnosis phaeochromocytoma confirmed on abdominal CT urinary assays. patient stabilised α β blockade, successfully extubated subsequently had tumour surgically excised. cardiac function returned to normal echocardiography she has made complete recovery.