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A case of bladder pheochromocytoma
1Department of Urology, Oita Prefectural Hospital, Oita, Japan. narihito@uro.med.kyushu-u.ac.jp
Urologia Internationalis
|January 11, 2001
Summary
Bladder pheochromocytoma is rare, often delaying diagnosis. This case highlights the need for clinical suspicion to manage hypertensive episodes during surgery for this rare neoplasm.
Area of Science:
- Urology
- Oncology
- Endocrinology
Background:
- Bladder pheochromocytoma is a rare neoplasm, often presenting atypically.
- Diagnosis can be delayed due to its infrequent occurrence.
Observation:
- A 67-year-old male presented with painless macrohematuria.
- Cystoscopy identified a submucosal bladder tumor.
- The patient experienced a hypertensive episode during transurethral resection.
Findings:
- Pathological diagnosis confirmed pheochromocytoma originating in the bladder.
- The tumor was managed with transurethral resection and partial cystectomy.
Implications:
- High clinical suspicion is crucial for diagnosing bladder pheochromocytoma.
- Adequate patient preparation is essential before surgical intervention.
- Early recognition can prevent intraoperative complications like hypertensive crises.