Gopal Krishan Jalwal

Gopal Krishan Jalwal

All India Institute of Medical Sciences, Bathinda, Punjab, India

Profile ID RP-000-7261 Joined 2023-03-09 2 articles
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Articles(2)

Rare incidental presentation of urinary bladder paraganglioma and the anaesthetic challenges faced: A case report 2023

Authors: Gopal Krishan Jalwal, Jyoti Kanwat, Brijesh Garg, Bhanupreet Kaur

DOI: 10.18231/j.ijca.2023.039  

Volume10

Issue2

Pages201-203

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.

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