AI Article Synopsis

  • Paraganglioma of the urinary bladder (PUB) is an uncommon tumor that secretes catecholamines and represents a small fraction of bladder tumors and pheochromocytomas.
  • A case of a 37-year-old man showed symptoms like palpitations and headaches but no common urinary issues, leading to the discovery of a suspicious bladder mass through imaging.
  • The report highlights the necessity for doctors to consider PUB in patients with specific symptoms and stresses the importance of early diagnosis and surgical treatment for better patient outcomes.

Article Abstract

Introduction: Paraganglioma of the urinary bladder (PUB) is an extremely rare extra-adrenal catecholamine-secreting neuroendocrine tumor, accounting for only 0.05% of all bladder tumors and 1% of all pheochromocytomas. The clinical presentation of PUB can be diverse and challenging to diagnose.

Case Presentation: This case report presents a 37-year-old man with post-micturition palpitation, headache, and sweating, with no history of hematuria or other irritative urinary symptoms. Ultrasound and contrast-enhanced computed tomography revealed a suspicious mass in the right posterolateral wall of the urinary bladder. Despite normal functional hormonal tests, the diagnosis of PUB was confirmed after surgical enucleation and histopathological examination.

Conclusion: This report emphasizes the importance of considering PUB as a differential diagnosis in patients with post-micturition symptoms and paroxysmal hypertension, as well as the need for a multidisciplinary approach in the evaluation and management of such rare and complex cases. Early recognition and surgical intervention are crucial for optimal management and favorable clinical outcomes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10963052PMC
http://dx.doi.org/10.1159/000538073DOI Listing

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