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Micturition syncope secondary to urinary bladder paraganglioma
Johns T Johnson1, Kripa Elizabeth Cherian1, Nitin Kapoor1
1Endocrinology, Christian Medical College, Vellore, Tamil Nadu, India.
BMJ Case Reports
|March 15, 2020
Summary
Urinary bladder paragangliomas are rare tumors that can mimic other conditions, leading to misdiagnosis. This case highlights successful surgical management of a bladder paraganglioma presenting with hypertension and syncope.
Area of Science:
- Urology
- Endocrinology
- Oncology
Background:
- Paraganglioma of the bladder is a rare tumor, constituting less than 0.06% of all urinary bladder tumors.
- These tumors can present with varied clinical manifestations, including symptoms of pheochromocytoma, hematuria, or be asymptomatic.
Observation:
- A 44-year-old woman presented with young-onset hypertension, recurrent syncope upon urination, and a history of coronary artery disease and stroke.
- These symptoms were attributed to a urinary bladder paraganglioma.
Findings:
- The patient was preoperatively stabilized using alpha-blocking agents.
- Successful transurethral resection of the bladder paraganglioma was performed.
Implications:
- This case underscores the importance of considering rare diagnoses like bladder paraganglioma in patients with unexplained hypertension and syncope.
- Early and accurate diagnosis is crucial to prevent complications such as intraoperative hypertensive crises.
- Successful surgical resection can lead to favorable outcomes.
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