Postpartum transabdominal laparoscopic adrenalectomy for pheochromocytoma presenting with abruption and hypertensive emergency

Pregnancy-related cases of pheochromocytoma are very uncommon, comprising approximately one in 54,000 pregnancies with a variable presentation making it a diagnostic challenge.1 Presentation of symptoms ranges from paroxysmal hypertension, palpitations, sweating, and nausea to cardiovascular collapse.2 Clinicians can often misinterpret these symptoms as essential hypertension or pregnancyinduced hypertension. After appropriate a and b-blockade similar- to nonpregnant patients, laparoscopic adrenalectomy during the second trimester results in improved maternal and fetal mortality.3 If the diagnosis is made after 24 weeks, then elective cesarean delivery with concomitant resection of pheochromocytoma is recommended.4