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Journal of Case Reports
Anaesthetic Management of Coexisting Preeclampsia and Paraganglioma in Pregnancy
Michelle Leanne Lim, Jacklyn Jialin Yek, Singara Selvan
Department of Anaesthesiology, KK Women’s and Children’s Hospital; 100 Bukit Timah Road, Singapore 229899.
Corresponding Author:
Dr Michelle Leanne Lim
Email: michelle.lim3@mohh.com.sg
Received: 18-AUG-2019 Accepted: 28-NOV-2019 Published Online: 05-JAN-2020
DOI: http://dx.doi.org/10.17659/01.2020.0001
Background: We describe the peri-operative challenges and anaesthetic management of a 36-year-old woman diagnosed with functioning paraganglioma and pre-eclampsia on a background of chronic hypertension, presenting with a twin pregnancy after in-vitro fertilization. Due to its rarity, management is often based on case studies and expert opinion. Case Report: This patient presents both diagnostic and management challenge, and it highlights the importance of considering overlapping pathologies in a patient with resistant hypertension. Furthermore, management of preeclampsia and catecholamine-secreting tumors may contradict each other and hence demand a multidisciplinary approach with obstetricians, endocrinologists and intensivists. Conclusion: The primary goals of catecholamine-secreting tumors and preeclampsia in pregnancy are early diagnosis and avoiding anticipated sympathetic surge. 
Keywords : Catecholamines, Hypertension, Paraganglioma, Pre-Eclampsia, Pregnancy.
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