Urgent Caesarean section in a patient with a late presenting suspected phaeochromocytoma. Issue 2 (30th July 2013)

• Record Type: Journal Article
• Authors: Bartakke, Ashish; Ricketts, Peter; Thompson, Rebekah
• Is Part Of: Anaesthesia cases. Volume 1:Issue 2(2013)
• Page Start: 8
• Page End: 11
• Publication Date: 2013-07-30
• Subjects: 617.9605
• DOI: 10.1002/j.2396-8397.2013.tb00014.x
• Languages: English
• ISSNs: 2396-8397

Abstract

Summary: We report the anaesthetic management of a woman who presented at term with a suspected phaeochromocytoma necessitating urgent Caesarean section. Subsequent histological diagnosis confirmed diffuse adrenal medullary hyperplasia. There is little evidence or consensus regarding the optimal anaesthetic technique for caesarean section in patients with raised catecholamines. Both general [1, 2] and regional [3, 4] anaesthetic techniques have been described. We consider the benefits and drawbacks of both.