DOI: 10.36347/sasjm.2024.v10i06.014

Pages: 548-551

Pheochromocytoma, a rare catecholamine-secreting tumor during pregnancy, poses significant risks but is curable with timely identification and management. We present a case of a 43 year old nulliparous woman who experienced respiratory distress and cardiorespiratory arrest after delivering a stillborn at 38 weeks gestation. Initially diagnosed with amniotic embolism, her condition worsened, revealing hypertensive crises, hypoxia, and alveolar hemorrhage. Suspicion of pheochromocytoma arose, confirmed by positive urinary catecholamines and imaging. The patient underwent left adrenalectomy, and pathology confirmed a benign pheochromocytoma. The complex diagnostic and therapeutic challenges of managing pheochromocytoma during pregnancy are discussed, emphasizing the need for multidisciplinary care and tailored interventions for optimal maternal and fetal outcomes.