A case of bladder pheochromocytoma

The clinical picture of bladder pheochromocytoma is usually typical; howeve r, the diagnosis is occasionally delayed because of the rarity of this neop lasm, We report a case of unsuspected bladder pheochromocytoma in which the patient had a hypertensive episode during transurethral resection, A 67-ye ar-old male presented with the chief complaint of painless macrohematuria. Cystoscopy revealed a submucosal tumor on the right lateral wall of the bla dder. The tumor was operated on transurethrally, followed by partial cystec tomy. The pathological diagnosis was pheochromocytoma, primarily occurring in the bladder, Treatment of this lesion requires a high degree of clinical suspicion based on the patient's symptom complex in order to enable adequa te preparation prior to surgical manipulation. Copyright (C) 2001 S. Karger AG, Basel.