Open AccessA Complicated Maternal Death in the context of Genetic Disorder: A Case Report
Author(s) -
Arash Alipour Tabrizi,
Jafar Bordbar Azari,
Reza Raoofian,
Arya Hedjazi,
Maliheh Dadgar Moghaddam,
Maryam Sajjadian
Publication year - 2021
Publication title -
international journal of medical toxicology and forensic medicine
Language(s) - English
Resource type - Journals
eISSN - 2251-8770
pISSN - 2251-8762
DOI - 10.32598/ijmtfm.v11i1.32308
Subject(s) - medicine , neurofibromatosis , pheochromocytoma , autopsy , pulmonary edema , context (archaeology) , pregnancy , asymptomatic , cause of death , maternal death , histopathology , pediatrics , obstetrics , pathology , surgery , lung , environmental health , paleontology , population , genetics , disease , biology
Background: Investigation of the maternal cause of death and pregnancy-related death is one of the most important responsibilities of a forensic pathologist. From the public health point of view, it may help to prevent losses during and following pregnancy and save the lives of women, especially in developing countries. Methods: We report a case of maternal death with a history of neurofibromatosis type 1 who presented asymptomatic and normotensive with normal laboratory test results. Results: The first attack after delivery was associated with pulmonary edema, which led to death. Investigation during the medico-legal autopsy discovered a left suprarenal tumor with the diagnosis of pheochromocytoma, which was confirmed by further histopathology testing. Conclusion: We believe that although the association of neurofibromatosis type 1 and normotensive pheochromocytoma during pregnancy has been reported rarely, the possibility must be considered for evaluation before elective operations to adopt proper preoperative protocols.