From Bad to Worse: Paraganglioma Diagnosis during Induction of Labor for Coexisting Preeclampsia
Pheochromocytomas and extra-adrenal paragangliomas are catecholamine-secreting tumors that rarely occur in pregnancy. The diagnosis of these tumors in pregnancy can be challenging given that many of the signs and symptoms are commonly attributed to preeclampsia or other more common diagnoses. Early...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2017/5495808 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850167232484605952 |
|---|---|
| author | Sasima Dusitkasem Blair H. Herndon Dalton Paluzzi Joseph Kuhn Robert H. Small John C. Coffman |
| author_facet | Sasima Dusitkasem Blair H. Herndon Dalton Paluzzi Joseph Kuhn Robert H. Small John C. Coffman |
| author_sort | Sasima Dusitkasem |
| collection | DOAJ |
| description | Pheochromocytomas and extra-adrenal paragangliomas are catecholamine-secreting tumors that rarely occur in pregnancy. The diagnosis of these tumors in pregnancy can be challenging given that many of the signs and symptoms are commonly attributed to preeclampsia or other more common diagnoses. Early diagnosis and appropriate management are essential in optimizing maternal and fetal outcomes. We report a rare case of a catecholamine-secreting tumor in which diagnosis occurring at the time labor was being induced for concomitant preeclampsia with severe features. Her initial presentation in hypertensive crisis with other symptoms led to diagnostic workup for secondary causes of hypertension and led to eventual diagnosis of paraganglioma. Obtaining this diagnosis prior to delivery was essential, as this led to prompt multidisciplinary care, changed the course of her clinical management, and ultimately enabled good maternal and fetal outcomes. This case highlights the importance of maintaining a high index of suspicion for secondary causes of hypertension and in obstetric patients and providing timely multidisciplinary care. |
| format | Article |
| id | doaj-art-e2b3ad8e506c4bf3bfd0906cb865d00c |
| institution | OA Journals |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-e2b3ad8e506c4bf3bfd0906cb865d00c2025-08-20T02:21:14ZengWileyCase Reports in Anesthesiology2090-63822090-63902017-01-01201710.1155/2017/54958085495808From Bad to Worse: Paraganglioma Diagnosis during Induction of Labor for Coexisting PreeclampsiaSasima Dusitkasem0Blair H. Herndon1Dalton Paluzzi2Joseph Kuhn3Robert H. Small4John C. Coffman5Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USADepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USADepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USADepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USADepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USADepartment of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, USAPheochromocytomas and extra-adrenal paragangliomas are catecholamine-secreting tumors that rarely occur in pregnancy. The diagnosis of these tumors in pregnancy can be challenging given that many of the signs and symptoms are commonly attributed to preeclampsia or other more common diagnoses. Early diagnosis and appropriate management are essential in optimizing maternal and fetal outcomes. We report a rare case of a catecholamine-secreting tumor in which diagnosis occurring at the time labor was being induced for concomitant preeclampsia with severe features. Her initial presentation in hypertensive crisis with other symptoms led to diagnostic workup for secondary causes of hypertension and led to eventual diagnosis of paraganglioma. Obtaining this diagnosis prior to delivery was essential, as this led to prompt multidisciplinary care, changed the course of her clinical management, and ultimately enabled good maternal and fetal outcomes. This case highlights the importance of maintaining a high index of suspicion for secondary causes of hypertension and in obstetric patients and providing timely multidisciplinary care.http://dx.doi.org/10.1155/2017/5495808 |
| spellingShingle | Sasima Dusitkasem Blair H. Herndon Dalton Paluzzi Joseph Kuhn Robert H. Small John C. Coffman From Bad to Worse: Paraganglioma Diagnosis during Induction of Labor for Coexisting Preeclampsia Case Reports in Anesthesiology |
| title | From Bad to Worse: Paraganglioma Diagnosis during Induction of Labor for Coexisting Preeclampsia |
| title_full | From Bad to Worse: Paraganglioma Diagnosis during Induction of Labor for Coexisting Preeclampsia |
| title_fullStr | From Bad to Worse: Paraganglioma Diagnosis during Induction of Labor for Coexisting Preeclampsia |
| title_full_unstemmed | From Bad to Worse: Paraganglioma Diagnosis during Induction of Labor for Coexisting Preeclampsia |
| title_short | From Bad to Worse: Paraganglioma Diagnosis during Induction of Labor for Coexisting Preeclampsia |
| title_sort | from bad to worse paraganglioma diagnosis during induction of labor for coexisting preeclampsia |
| url | http://dx.doi.org/10.1155/2017/5495808 |
| work_keys_str_mv | AT sasimadusitkasem frombadtoworseparagangliomadiagnosisduringinductionoflaborforcoexistingpreeclampsia AT blairhherndon frombadtoworseparagangliomadiagnosisduringinductionoflaborforcoexistingpreeclampsia AT daltonpaluzzi frombadtoworseparagangliomadiagnosisduringinductionoflaborforcoexistingpreeclampsia AT josephkuhn frombadtoworseparagangliomadiagnosisduringinductionoflaborforcoexistingpreeclampsia AT roberthsmall frombadtoworseparagangliomadiagnosisduringinductionoflaborforcoexistingpreeclampsia AT johnccoffman frombadtoworseparagangliomadiagnosisduringinductionoflaborforcoexistingpreeclampsia |