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CASE REPORT
An unusual combination of extra-adrenal pheochromocytoma and arteriovenous malformation of the ureter in a young adult
  1. Ali Khawaja1,
  2. Wajahat Aziz2,
  3. Syed Muhammad Nazim2,
  4. Farhat Abbas2
  1. 1Medical College, The Aga Khan University Hospital, Karachi, Sindh, Pakistan
  2. 2Department of Surgery, Section of Urology, The Aga Khan University Hospital, Karachi, Sindh, Pakistan
  1. Correspondence to Dr Wajahat aziz, wajahat.aziz{at}aku.edu

Summary

We present a case of a 24-year-old gentleman who presented with painless pan haematuria for 2 weeks. During the workup, he was diagnosed to have a retrocaval mass after a CT scan while cystoscopy revealed a polypoidal pulsating lesion in the left ureter. After surgical manipulation of the retrocaval mass, the blood pressure of the patient raised to 260/130 mm Hg. It was completely resected and diagnosed as extra-adrenal pheochromocytoma (paraganglioma) after histopathology. The lesion in the ureter was completely excised and fulgurated and diagnosed as an arteriovenous malformation. To the best of our knowledge, this is the first patient to be presented in the literature with this unusual combination.

https://doi.org/10.1136/bcr-2013-009491

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