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Phaeochromocytoma of the urinary bladder
I Naqiyah1, M Rohaizak, F A Meah
1Department of Surgery, University Kebangsaan Malaysia Hospital, Jalan Yaacob Latiff, Bandar Tun Razak, 56000 Kuala Lumpur, Malaysia. naqiyah@mail.hukm.ukm.my
Singapore Medical Journal
|June 22, 2005
Summary
A rare urinary bladder paraganglioma was diagnosed in a 12-year-old girl presenting with vision loss. Surgical removal of the phaeochromocytoma successfully controlled her hypertension.
Area of Science:
- Endocrinology
- Urology
- Pediatric Oncology
Background:
- Urinary bladder paragangliomas are exceptionally rare neuroendocrine tumors.
- Hypertension is a significant, though uncommon, presenting symptom.
Observation:
- A 12-year-old girl presented with blurred vision secondary to grade IV hypertensive retinopathy.
- Diagnostic imaging identified a phaeochromocytoma located on the posterior wall of the urinary bladder.
Findings:
- Surgical resection via partial cystectomy with right ureter reimplantation was performed.
- Postoperative management resulted in prompt and effective control of the patient's hypertension.
Implications:
- This case highlights the importance of considering rare urinary tract tumors in the differential diagnosis of pediatric hypertension.
- Successful surgical management of bladder paraganglioma can lead to complete resolution of associated hypertensive crises.
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