Bilateral phaeochromocytomas in pregnancy: anaesthetic management of combined caesarean section and tumour removal.
A 25-year-old primigravida with bilateral phaeochromocytomas was managed from 6 weeks' gestation until 2.5 years following combined Caesarean section and removal of adrenal tumours. Pre-operative alpha-blockade was achieved by oral prazosin without deleterious effects. Intra-operative management comprised neuroleptanalgesia, arterial and pulmonary pressure monitoring, adequate heart loading with fluid replacement and sodium nitroprusside. Post-operatively, mother and baby remained normotensive.
D000310:Adrenal Gland Neoplasms / Q000601:surgery*; D000328:Adult; D000768:Anesthesia, General; D002585:Cesarean Section; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009378:Neoplasms, Multiple Primary / Q000601:surgery*; D010673:Pheochromocytoma / Q000601:surgery*; D011224:Prazosin; D011229:Preanesthetic Medication; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*
D011224:Prazosin