Pheochromocytoma Leading to Multiorgan Failure in a Pregnant Patient: A Case Report

Introduction: Pheochromocytoma, a neuroendocrine tumor that secretes catecholamines, can present with episodic sweating, diaphoresis, headaches, and hypertension, as well as cardiac and pulmonary involvement. In a pregnant patient, it must be differentiated from preeclampsia, a leading cause of mate...

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Autores principales:	Toby Myatt, Margot Barker
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/9225b51604a04318a1b13a2dd1e3b95f
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spelling	oai:doaj.org-article:9225b51604a04318a1b13a2dd1e3b95f2021-11-23T20:02:51ZPheochromocytoma Leading to Multiorgan Failure in a Pregnant Patient: A Case Report2474-252X10.5811/cpcem.2021.6.52727https://doaj.org/article/9225b51604a04318a1b13a2dd1e3b95f2021-11-01T00:00:00Zhttps://escholarship.org/uc/item/5bs0c90shttps://doaj.org/toc/2474-252XIntroduction: Pheochromocytoma, a neuroendocrine tumor that secretes catecholamines, can present with episodic sweating, diaphoresis, headaches, and hypertension, as well as cardiac and pulmonary involvement. In a pregnant patient, it must be differentiated from preeclampsia, a leading cause of maternal mortality in the developed world, which can similarly present with hypertension and multiorgan involvement. Both conditions require early diagnosis and treatment to reduce maternal and fetal morbidity and mortality. Case Report: We discuss the case of a pregnant patient at approximately 24 weeks’ gestation presenting with chest pain and shortness of breath who was found to have a left adrenal mass and hypertensive urgency. The patient acutely decompensated during the course of evaluation. She ultimately suffered pregnancy loss and multiorgan failure requiring percutaneous heart pump placement and extracorporeal membrane oxygenation therapy for support before fully recovering. The adrenal mass was confirmed to be a pheochromocytoma after excision and contributed to the development of hypertensive emergency with multiorgan failure. Conclusion: Pheochromocytoma during pregnancy is a rare condition but must remain on the differential until ruled out to improve patient outcomes as much as possible. Obtaining blood pressure control is imperative to reducing maternal and fetal mortality. Preeclampsia is similarly serious, and early diagnosis is essential for adequate management of the condition until delivery can occur.Toby MyattMargot BarkereScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Toby Myatt Margot Barker Pheochromocytoma Leading to Multiorgan Failure in a Pregnant Patient: A Case Report
description	Introduction: Pheochromocytoma, a neuroendocrine tumor that secretes catecholamines, can present with episodic sweating, diaphoresis, headaches, and hypertension, as well as cardiac and pulmonary involvement. In a pregnant patient, it must be differentiated from preeclampsia, a leading cause of maternal mortality in the developed world, which can similarly present with hypertension and multiorgan involvement. Both conditions require early diagnosis and treatment to reduce maternal and fetal morbidity and mortality. Case Report: We discuss the case of a pregnant patient at approximately 24 weeks’ gestation presenting with chest pain and shortness of breath who was found to have a left adrenal mass and hypertensive urgency. The patient acutely decompensated during the course of evaluation. She ultimately suffered pregnancy loss and multiorgan failure requiring percutaneous heart pump placement and extracorporeal membrane oxygenation therapy for support before fully recovering. The adrenal mass was confirmed to be a pheochromocytoma after excision and contributed to the development of hypertensive emergency with multiorgan failure. Conclusion: Pheochromocytoma during pregnancy is a rare condition but must remain on the differential until ruled out to improve patient outcomes as much as possible. Obtaining blood pressure control is imperative to reducing maternal and fetal mortality. Preeclampsia is similarly serious, and early diagnosis is essential for adequate management of the condition until delivery can occur.
format	article
author	Toby Myatt Margot Barker
author_facet	Toby Myatt Margot Barker
author_sort	Toby Myatt
title	Pheochromocytoma Leading to Multiorgan Failure in a Pregnant Patient: A Case Report
title_short	Pheochromocytoma Leading to Multiorgan Failure in a Pregnant Patient: A Case Report
title_full	Pheochromocytoma Leading to Multiorgan Failure in a Pregnant Patient: A Case Report
title_fullStr	Pheochromocytoma Leading to Multiorgan Failure in a Pregnant Patient: A Case Report
title_full_unstemmed	Pheochromocytoma Leading to Multiorgan Failure in a Pregnant Patient: A Case Report
title_sort	pheochromocytoma leading to multiorgan failure in a pregnant patient: a case report
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/9225b51604a04318a1b13a2dd1e3b95f
work_keys_str_mv	AT tobymyatt pheochromocytomaleadingtomultiorganfailureinapregnantpatientacasereport AT margotbarker pheochromocytomaleadingtomultiorganfailureinapregnantpatientacasereport
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Pheochromocytoma Leading to Multiorgan Failure in a Pregnant Patient: A Case Report

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