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Case report
Micturition syncope secondary to urinary bladder paraganglioma
  1. Johns T Johnson,
  2. Kripa Elizabeth Cherian,
  3. Nitin Kapoor and
  4. Thomas Vizhalil Paul
  1. Endocrinology, Christian Medical College, Vellore, Tamil Nadu, India
  1. Correspondence to Professor Thomas Vizhalil Paul; thomasvpaul{at}


Paraganglioma of the bladder is a rare tumour accounting for less than 0.06% of all urinary bladder tumours and has varied presentations. It may present with clinical symptoms of phaeochromocytoma, may be non-functioning and asymptomatic or may present with haematuria. Hence, paragangliomas are occasionally misdiagnosed, and this results in unanticipated intraoperative hypertensive crisis. We present the case of a 44-year-old woman with urinary bladder paraganglioma who presented with young onset hypertension, recurrent micturition syncope with prior history of coronary artery disease and stroke. She was stabilised preoperatively with alpha blocking agents and subsequently underwent successful transurethral resection of the same.

  • endocrine system
  • urinary and genital tract disorders
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  • Contributors JTJ and KEC wrote the manuscript. NK and TVP reviewed the manuscript. JTJ, KEC, NK and TVP finally approved the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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