A reason to panic in pregnancy

G.A. Pearson, S.D. Eckford, J. Trinder, A Levy

Research output: Contribution to journalArticle (Academic Journal)peer-review

8 Citations (Scopus)

Abstract

An 18-year old presented at 27 weeks’ gestation with aproteinuric hypertension (178/111mmHg) with intermittent ‘panic attacks’ consisting of palpitations, left abdominal pain and perspiration. Twenty-four hour urinary catecholamine levels were >20,000nmol. Ultrasonography detected a 6.9cm x 3.6cm x 4.6cm hyperechoic structure obscuring the left adrenal. Blood pressure and tachycardia control were achieved with phenoxybenamine and labetolol, with the presumptive diagnosis of pheochromocytoma. A staging CT was undertaken prior to an elective caesarean at 37 weeks; a healthy infant was delivered. Tumor resection was perfomed a month later.
Translated title of the contributionA reason to panic in pregnancy
Original languageEnglish
Pages (from-to)756 - 756
Number of pages1
JournalLancet
Volume374
Publication statusPublished - 2009

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