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Case Reports
. 2009 Nov;102(11):1173-5.
doi: 10.1097/SMJ.0b013e3181b357de.

A rare cause of complicated hypertension: urinary bladder paraganglioma

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Case Reports

A rare cause of complicated hypertension: urinary bladder paraganglioma

Claire Vesin et al. South Med J. 2009 Nov.

Abstract

After a subarachnoid hemorrhage, a 35-year-old patient developed paroxystic hypertension accompanied by typical symptoms. These symptoms occurred exclusively after urination. A urinary bladder paraganglioma was discovered using iodine-123 metaiodobenzylguanidine (I-123 MIBG) scintigraphy and magnetic resonance imaging (MRI) after the detection of an abnormally elevated plasma metanephrine measurement. A partial cystectomy was performed which cured the symptoms. Paragangliomas, defined by their extra-adrenal localization, have slightly different characteristics than pheochromocytomas, leading to specific care and follow up.

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