Bilateral phaeochromocytomas in pregnancy: anaesthetic management of combined caesarean section and tumour removal
Pinaud, M.; Souron, R.; Le Neel, J.C.; Lopes, P.; Murat, A.; L'hoste, F.
European Journal of Anaesthesiology 2(4): 395-399
1985
ISSN/ISBN: 0265-0215 PMID: 4085470 Document Number: 259098
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.