October 1980

Current Surgical Management of Pheochromocytoma During Pregnancy

Author Affiliations

From the Departments of Surgery (Drs Fudge and McKinnon) and Obstetrics and Gynecology (Dr Geary), Ochsner Medical Institutions, New Orleans.

Arch Surg. 1980;115(10):1224-1225. doi:10.1001/archsurg.1980.01380100068016

• The diagnosis of pheochromocytoma during pregnancy has rarely been made correctly prior to delivery, only 42 cases having been reported. Antepartum diagnosis markedly decreases the maternal and fetal mortality. We report a case of pheochromocytoma manifesting during the third trimester of pregnancy. Preoperative control of blood pressure with phenoxybenzamine and phentolamine therapy was carried out. Simultaneous cesarean section and excision of the tumor resulted in a healthy mother and newborn infant. We review the perioperative and intraoperative management of patients with a pheochromocytoma during pregnancy.

(Arch Surg 115:1224-1225, 1980)