Pheochromocytoma Presenting as Partial HELLP Syndrome

Case Reports in Obstetrics and Gynecology
Yazan DaaboulRita Nemr

Abstract

Diagnosis of pheochromocytoma in partial HELLP syndrome is extremely rare. We report a case of a 25-year-old multigravida woman at 30 weeks of gestation who presented with clinical features consistent with partial HELLP syndrome. Her symptoms were not controlled by pharmacologic therapy, and the patient underwent urgent cesarean section. The patient gave birth to a viable baby, but she sustained an episode of ventricular fibrillation intraoperatively that did not result in any long-term sequelae. The patient's symptoms persisted postoperatively and work-up for secondary etiologies of hypertension demonstrated a right adrenal pheochromocytoma. Following resection, the patient's signs and symptoms resolved, and her lab tests normalized.

References

Apr 2, 1992·The New England Journal of Medicine·F G Cunningham, M D Lindheimer
Feb 1, 1990·American Journal of Obstetrics and Gynecology·B M Sibai
Aug 6, 2000·British Journal of Anaesthesia·C Prys-Roberts
Sep 28, 2001·British Journal of Anaesthesia·M F James
Jul 12, 2002·Journal of Endocrinological Investigation·M Mannelli, D Bemporad
Aug 23, 2005·Lancet·Jacques W M LendersKarel Pacak
Jan 12, 2010·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Vijaya SarathiNalini S Shah
Jun 6, 2012·BMJ Case Reports·Joanne PetrieSimon William Dubrey
Nov 28, 2012·The British Journal of Surgery·M A Biggar, T W J Lennard
Mar 27, 2013·Journal of Forensic Sciences·Isabelle PluDominique Lecomte
Jan 9, 2014·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Dexin Dong, Hanzhong Li

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BETA
urine collection

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