Anaesthetic Management of Coexisting Preeclampsia and Paraganglioma in Pregnancy

Journal of Case Reports

article

Michelle Leanne Lim¹  Jacklyn Jialin Yek¹  Singara Selvan¹ 

[1] Department of Anaesthesiology, KK Women’s and Children’s Hospital;100 Bukit Timah Road

关键词: Catecholamines;    Hypertension;    Paraganglioma;    Pre-Eclampsia;    Pregnancy.;   

DOI  :  10.17659/01.2020.0001

学科分类：生理学

来源: Journal of Case Reports

【 摘 要 】

Background: We describe the peri-operative challenges and anaesthetic management of a 36-year-old woman diagnosed with functioning paraganglioma and pre-eclampsia on a background of chronic hypertension, presenting with a twin pregnancy after in-vitro fertilization. Due to its rarity, management is often based on case studies and expert opinion. Case Report: This patient presents both diagnostic and management challenge, and it highlights the importance of considering overlapping pathologies in a patient with resistant hypertension. Furthermore, management of preeclampsia and catecholamine-secreting tumors may contradict each other and hence demand a multidisciplinary approach with obstetricians, endocrinologists and intensivists. Conclusion: The primary goals of catecholamine-secreting tumors and preeclampsia in pregnancy are early diagnosis and avoiding anticipated sympathetic surge.

【 授权许可】

Unknown