Demirkesen O, Cetinel B, Yaycioglu O, Uygun N, Solok V
Department of Urology, Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey.
Urology. 2000 Jul 1;56(1):154. doi: 10.1016/s0090-4295(00)00554-9.
Ten to twenty percent of paragangliomas occur at extra-adrenal locations and less than 1% are at the urinary bladder. The most common presenting symptom of bladder paraganglioma is hypertensive attacks precipitated by micturition and hematuria. Paraganglioma of the urinary bladder occurring at pregnancy is extremely rare. We present a case of bladder paraganglioma as an unusual cause of early preeclampsia. After termination of the pregnancy, surgical resection was performed and the histopathologic diagnosis of paraganglioma confirmed. At 24 months of follow-up the patient felt well and was normotensive without any foci of paraganglioma. Although rare, paraganglioma must be considered in the differential diagnosis of early preeclampsia.
10%至20%的副神经节瘤发生于肾上腺外部位，而发生于膀胱的不到1%。膀胱副神经节瘤最常见的症状是排尿诱发的高血压发作和血尿。妊娠期间发生的膀胱副神经节瘤极为罕见。我们报告一例膀胱副神经节瘤作为早期子痫前期的罕见病因。终止妊娠后，进行了手术切除，病理组织学诊断证实为副神经节瘤。随访24个月时，患者情况良好，血压正常，未发现副神经节瘤病灶。尽管罕见，但在早期子痫前期的鉴别诊断中必须考虑副神经节瘤。
