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Bladder pheochromocytoma encountered on sonography.
M Celiktaş1, N Okur, K S Aikimbaev
1Department of Radiology, Medical Faculty, Cukurova University, Balcali Hospital, Adana, Turkey.
Australasian Radiology
|September 4, 2004
Summary
Bladder pheochromocytomas are rare tumors. This case highlights that they may present solely with hematuria, emphasizing the need for vigilance during bladder ultrasounds.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Pheochromocytomas are rare bladder neoplasms, accounting for less than 0.06% of all bladder tumors.
- Typical symptoms include sweating, hypertension, hematuria, and post-micturition syncope due to adrenergic excess.
Observation:
- A case of bladder pheochromocytoma in a 66-year-old male is presented.
- The patient's only presenting symptom was macroscopic hematuria.
- Initial assessment involved ultrasonography.
Findings:
- The bladder pheochromocytoma presented without the classic symptoms of adrenergic excess.
- Ultrasonography was the initial diagnostic tool used.
Implications:
- This case underscores the importance of maintaining a high index of suspicion for pheochromocytoma in patients with bladder neoplasms.
- Sonographic evaluation of bladder tumors requires careful consideration, as atypical presentations are possible.
- Early and accurate diagnosis is crucial for appropriate management of bladder pheochromocytomas.