Severe hypertension complicating pregnancy, pheochromocytoma: A rare case report

Introduction: Pheochromocytoma, a rare tumor arising in the adrenal medulla, It is a catecholamineproducing tumor. It’s prevalence in hypertensive patients is 0.2%, and 0.002% of pregnancies. Its clinical presentation is typically hallmarked by sustained or intermittent hypertension associated with paroxysmal symptoms. Pheochromocytoma should also be considered if a patient has labile hypertension, hypertension resistant to treat by antihypertensive therapy, or paroxysmal symptoms (“spells”). Correct diagnosis is essential as surgical resection of the tumor dramatically reverses the clinical symptoms and may cure the hypertension. Pheochromocytoma with clinical presentation was earliest reported in 1926 when Cesar Roux in Switzerland and Charles H. Mayoin the United States successfully removed pheochromocytomas to cure the catecholamine-associated symptom complex. During pregnancy the clinical presentations can be easily confused with severe pre-eclampsia. The presentation of uncontrolled hypertension and headache not responding to medication may be misleading diagnose. It can be even more challenging if phechromocytoma is undiagnosed. This adrenal tumor also increases the risk of adverse pregnancy outcome like abortion, still birth or pre term delivery. We report this case from People’s College of Medical Science & Research Centre a case of Pheochromocytoma with Pregnancy. Keywords: Pheochromocytoma, prevalence in hypertensive.