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Rare incidental presentation of urinary bladder paraganglioma and the anaesthetic challenges faced: A case report

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Case Report

Author Details : Gopal Krishan Jalwal*, Jyoti Kanwat, Brijesh Garg, Bhanupreet Kaur

Volume : 10, Issue : 2, Year : 2023

Article Page : 201-203

https://doi.org/10.18231/j.ijca.2023.039

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Abstract

Urinary bladder paraganglioma is an extra-adrenal pheochromocytoma. As it lacks specific symptoms and because of its rare occurrence, it presents incidentally while tumour handling. A forty-eight-year-old female who presented with nausea, vomiting, weight loss, pain abdomen and hematuria was diagnosed with a bladder mass. She was scheduled for transurethral resection of the bladder tumour. On tumour manipulation, it showed numerous fluctuations in heart rate and blood pressure, from where a differential diagnosis of urinary bladder paraganglioma was made. Histopathology revealed a zellbellan pattern of paraganglioma. This case was discharged successfully postoperatively. But if undiagnosed preoperatively, it can be a real challenge because of the fatal hypertensive crisis and life-threatening cardiopulmonary complications.
 

Keywords: Urinary bladder, Paraganglioma, Zellballen, Anaesthesia.

How to cite : Jalwal G K, Kanwat J, Garg B, Kaur B, Rare incidental presentation of urinary bladder paraganglioma and the anaesthetic challenges faced: A case report. Indian J Clin Anaesth 2023;10(2):201-203

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