Pheochromocytoma of the urinary bladder: a rare cause of severe hypertension

Paraganglioma of the urinary bladder is a rare entity,and accounts for less than 0.5% of all bladder tumors. In the genitourinary tract,the urinary bladder is the most common site for paragangliomas. These tumors commonly present with hematuria and intermittent hyper-tension during micturition along with generalized symptoms due to raised catecholamines. Surgical removal is the treatment of choice,with most of the patients requiring at least a partial cystectomy. We herewith report a 38-year-old lady who presented with a two month history of pain abdomen,burning micturition, headache and uncontrolled hypertension. Detailed investigations revealed a pheochromocytoma of the urinary bladder,which was treated with partial cystectomy,following which her blood pressure stabilized.