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Case Reports in Obstetrics and Gynecology
Volume 2015 (2015), Article ID 294326, 3 pages
http://dx.doi.org/10.1155/2015/294326
Case Report

Pheochromocytoma Presenting as Partial HELLP Syndrome

Lebanese American University Medical Center-Rizk Hospital, Gilbert & Rose-Marie Chagoury School of Medicine, Lebanese American University, Byblos, Lebanon

Received 13 May 2015; Revised 3 August 2015; Accepted 11 August 2015

Academic Editor: Irene Hoesli

Copyright © 2015 Yazan Daaboul et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Diagnosis of pheochromocytoma in partial HELLP syndrome is extremely rare. We report a case of a 25-year-old multigravida woman at 30 weeks of gestation who presented with clinical features consistent with partial HELLP syndrome. Her symptoms were not controlled by pharmacologic therapy, and the patient underwent urgent cesarean section. The patient gave birth to a viable baby, but she sustained an episode of ventricular fibrillation intraoperatively that did not result in any long-term sequelae. The patient’s symptoms persisted postoperatively and work-up for secondary etiologies of hypertension demonstrated a right adrenal pheochromocytoma. Following resection, the patient’s signs and symptoms resolved, and her lab tests normalized.