Paraganglioma of urinary bladder

Area of Science:

• Urology
• Endocrinology
• Oncology

Background:

• Paragangliomas are rare neuroendocrine tumors arising from chromaffin cells.
• Urinary bladder paragangliomas originate from sympathetic nervous system innervation.
• Functional tumors typically present with hypertensive crises and syncope.

Observation:

• This report details an unusual case of a silent bladder paraganglioma.
• The patient, an adult woman, presented with isolated hematuria.
• A severe hypertensive crisis occurred during trans-urethral resection.

Findings:

• Silent bladder paragangliomas are rare but pose diagnostic challenges.
• Misdiagnosis can lead to inadequate peri-operative management.
• This case underscores the importance of considering paraganglioma in unexplained hematuria.

Implications:

• Early and accurate diagnosis of bladder paraganglioma is crucial.
• Awareness of silent presentations is vital for appropriate patient care.
• This case emphasizes the need for heightened vigilance during surgical procedures.