[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
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
Abstract

• 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)

References
1.
Schenker JG, Chowers I:  Pheochromocytoma and pregnancy: Review of 89 cases . Obstet Gynecol Surv 26:739-747, 1971.Article
2.
Burgess GE III, Cooper JR, Marino L J, et al:  Anesthetic management of combined Caesarean section and excision of pheochromocytoma . Anesth Analg 57:276-279, 1978.
3.
Burgess GE III:  Alpha blockade and surgical intervention of pheochromocytoma in pregnancy . Obstet Gynecol 53:266-270, 1979.
4.
Sunderman FW Jr, Cleveland PD, Law NC, et al:  A method for the determination of 3-methoxy-4-hydroxymandelic acid ('vanilmandelic acid') for the diagnosis of pheochromocytoma . Am J Clin Pathol 34:293-312, 1960.
5.
Sunderman FW Jr:  Measurement of vanilmandelic acid for the diagnosis of pheochromocytoma and neuroblastoma . Am J Clin Pathol 42:481-491, 1964.
6.
Leak D, Carroll JJ, Robinson DC, et al:  Management of pheochromocytoma during pregnancy . Can Med Assoc J 116:371-375, 1977.
7.
Maughan GB, Shabanah EH, Toth A:  Experiments with pharmacologic sympatholysis in the gravid . Am J Obstet Gynecol 97:764-776, 1967.
8.
Griffith MI, Felts JH, James FM, et al:  Successful control of pheochromocytoma in pregnancy . JAMA 229:437-439, 1974.Article
9.
Gilstrap LC, Brekken AL, Harris RE:  Sipple syndrome and pregnancy . JAMA 235:1136-1137, 1976.Article
×