Pheochromocytoma in Pregnancy: Looking Beyond Preeclampsia and Gestational Physiological Changes

Author(s): Huyam Ghazi Ahmed Mahmoud, Amira Abdellatif Hassan, Sakeriya Farah, Ziena Abdullah, Awad Elkarim

Pheochromocytoma is a rare neuroendocrine tumor that arises from the adrenal medulla, resulting in the excessive release of catecholamines such as adrenaline and noradrenaline. This case report describes a 34-year-old woman who experienced severe hypertension and other symptoms three months after giving birth. Despite her physical examination appearing normal, further tests revealed a large adrenal mass. The diagnosis of pheochromocytoma, a type of neuroendocrine tumor, was confirmed. The patient's blood pressure was stabilized, and she underwent surgery to remove the tumor. This case highlights the importance of considering rare secondary causes of hypertension, especially in peripartum patients with a history of gestational diabetes and uncontrolled blood pressure. Early diagnosis and appropriate management are crucial in addressing these underlying conditions and relieving hypertensive symptoms.