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Journal of Obstrectic Anaesthesia and Critical Care
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CASE REPORT
Year : 2017  |  Volume : 7  |  Issue : 2  |  Page : 97-99

Anesthesia for combined cesarean section and pheochromocytoma resection


1 Department of Anesthesiology, Govt. Medical College and Cancer Hospital, Aurangabad, India
2 Department of Nephrology, Mahatma Gandhi Mission Medical College Aurangabad, Aurangabad, Maharashtra, India
3 Consultant Anesthesiologist, Aurangabad, Maharashtra, India

Correspondence Address:
Sadhana Kulkarni
Adwait, 113 Tilak Nagar, Aurangabad - 431 005, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joacc.JOACC_41_16

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Pheochromocytoma (PCC) is a rare cause of hypertension during pregnancy [1:54000 pregnancies]. Fetomaternal morbidity and mortality is about 58% if the diagnosis is missed. Administration of anesthesia to patients with PCC is challenging. Associated pregnancy adds to the problems. This is a case report of a patient having PCC diagnosed at 26 weeks of gestation. With medical management pregnancy was continued till 34 weeks. She was posted for cesarean section and resection of PCC. Patient underwent surgery lasting for 7 h due to inferior vena cava tear and had stormy intra as well as postoperative course. Mother and baby had uneventful recovery due to continuous invasive monitoring and a good teamwork, despite limited anesthetic resources.


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