Phaeochromocytoma causing acute pulmonary oedema during emergency caesarean section.
We report a case of severe acute pulmonary oedema following induction of general anaesthesia for emergency caesarean section. After several hours of aggressive resuscitation, both mother and child had a favourable outcome. Postoperative investigation of acute renal failure demonstrated a supra-adrenal mass. Further investigation confirmed bilateral phaeochromocytoma as the cause of her condition. A literature review confirmed this to be a rare but important clinical entity, owing to its high mortality. Antenatal diagnosis greatly improves survival. Magnesium sulphate appears to be a useful and safe agent to employ in cases of undiagnosed hypertensive obstetric emergencies.
Golshevsky
J R
JR
Department ofAnaesthesia, Goulbum Valley Health, Shepparton, Victoria, Australia. Jonathan.Golshevsky@svhm.org.au
Karel
K
K
Teale
G
G
D000208:Acute Disease; D058186:Acute Kidney Injury / Q000209:etiology; D000310:Adrenal Gland Neoplasms / Q000150:complications*; D000328:Adult; D002585:Cesarean Section; D004630:Emergencies; D005260:Female; D006801:Humans; D010673:Pheochromocytoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D011225:Pre-Eclampsia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery; D011654:Pulmonary Edema / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome