Isfahan University of Medical Sciences

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Pheochromocytoma After Cesarean Section Publisher



Naghshineh E1 ; Shahraki AD1 ; Sheikhalian S1 ; Hashemi L1
Authors
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Authors Affiliations
  1. 1. Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Source: International Journal of Preventive Medicine Published:2016


Abstract

Pheochromocytoma is a catecholamine‑producing tumor. There are a very few reported cases of clinical pheochromocytoma. Here, we report a 27‑year‑old woman para 1 live 1 with chief complaint of headache, confusion, nausea, and vomiting 2 days after cesarean section. She was anxious and had palpitation. On physical examination, fever, tachycardia, tachypnea, high blood pressure, and right thyroid nodule were found. She was managed as pregnancy‑induced hypertension at first. In laboratory data, epinephrine, norepinephrine, metanephrine, normetanephrine, and vanillylmandelic acid were increased in 24 h urine collection. An adrenal mass was detected in abdominal computed tomography. Regarding clinical and paraclinical findings, pheochromocytoma was diagnosed. The patient received medical treatment, but it was not effective; hence, she underwent adrenalectomy. © 2016 International Journal of Preventive Medicine.