Johnson Johns T, Cherian Kripa Elizabeth, Kapoor Nitin, Paul Thomas Vizhalil
Endocrinology, Christian Medical College, Vellore, Tamil Nadu, India.
Endocrinology, Christian Medical College, Vellore, Tamil Nadu, India
BMJ Case Rep. 2020 Mar 12;13(3):e233556. doi: 10.1136/bcr-2019-233556.
Paraganglioma of the bladder is a rare tumour accounting for less than 0.06% of all urinary bladder tumours and has varied presentations. It may present with clinical symptoms of phaeochromocytoma, may be non-functioning and asymptomatic or may present with haematuria. Hence, paragangliomas are occasionally misdiagnosed, and this results in unanticipated intraoperative hypertensive crisis. We present the case of a 44-year-old woman with urinary bladder paraganglioma who presented with young onset hypertension, recurrent micturition syncope with prior history of coronary artery disease and stroke. She was stabilised preoperatively with alpha blocking agents and subsequently underwent successful transurethral resection of the same.
膀胱副神经节瘤是一种罕见肿瘤，占所有膀胱肿瘤的比例不到0.06%，其临床表现多样。它可能表现为嗜铬细胞瘤的临床症状，可能无功能且无症状，也可能表现为血尿。因此，副神经节瘤偶尔会被误诊，这会导致术中意外的高血压危象。我们报告一例44岁患有膀胱副神经节瘤的女性病例，该患者表现为早发性高血压、反复排尿性晕厥，既往有冠状动脉疾病和中风病史。她术前使用α受体阻滞剂稳定病情，随后成功接受了经尿道切除术。
