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Case Reports
Refractory hypotension during spinal anesthesia for Cesarean delivery due to undiagnosed pheochromocytoma.
- Katherine W Arendt, Carl H Rose, and Michelle A O Kinney.
- Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. Electronic address: johnson.rebecca1@mayo.edu.
- J Clin Anesth. 2013 Dec 1;25(8):672-4.
AbstractProfound hypotension and resistance to conventional vasopressor therapy following administration of spinal anesthesia for Cesarean delivery occurred in a multiparous parturient. Postpartum evaluation for secondary hypertension showed a diagnosis of pheochromocytoma. Pheochromocytoma was mistaken for preeclampsia with significant vasopressor requirement to treat hypotension from spinal anesthesia. If pheochromocytoma is diagnosed during pregnancy and Cesarean delivery is required, spinal anesthesia may not be the optimal choice of anesthesia.© 2013.
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