术前未诊断的膀胱副神经节瘤术中突发高血压危象1例

ISSN:2705-098X(P)

EISSN:2705-0505(O)

语言:中文

作者
周 玲,何淑英,曹 阳
文章摘要
背景:膀胱副神经节瘤很少见,临床症状由儿茶酚胺的产生和释放引起。膀胱副神经节瘤的典型症状是高血压、肉眼血尿和排尿时出现高血压危象。在此,我们报告一例膀胱副神经节瘤,术前未明确诊断,术中因切除膀胱肿物引发高血压危象,术后病理诊断明确为膀胱副神经节瘤1例。
文章关键词
膀胱副神经节瘤;高血压危象;全身麻醉
参考文献
[1] Lack, EE. Carotid body hypertrophy in patients with cystic fibrosis and cyanotic congenital heart disease. HUM PATHOL. 1977; 8 (1): 39-51. doi: 10.1016/s0046-8177(77)80064-6 [2] Tiwari, SB, Ghimire, B, Gautam, K, et al. Extra-adrenal paraganglioma of a urinary bladder in an adolescent male: A rare case report. Int J Surg Case Rep. 2021; 89 106535. doi: 10.1016/j.ijscr.2021.106535 [3] Leestma JE, Price EB Jr. Paraganglioma of the urinary bladder. Cancer 1971;28:1063 73. [4] Al Zahrani AA. Recurrent urinary bladder paraganglioma. Adv Urol 2010;912125. [5] Hanji AM, Rohan VS, Patel JJ, Tankshali RA. Pheochromocytoma of the urinary bladder: A rare cause of severe hypertension. Saudi J Kidney Dis Transpl 2012;23:813 6. [6] Chen CH, Boag AH, Beiko DT, Siemens DR, Froese A, Isotalo PA. Composite paraganglioma ganglioneuroma of the urinary bladder: A rare neoplasm causing hemodynamic crisis at tumour resection. Can Urol Assoc J 2009;3:E45 8. [7] Li, S, Lui, S, Li, F, et al. Unsuspected paraganglioma of the urinary bladder with intraoperative hypertensive crises: A case report. EXP THER MED. 2013; 6 (4): 1067-1069. doi: 10.3892/etm.2013.1242 [8] 冯莉娟;张涛;杨菲菲;杨青;张玥熠,膀胱副神经节瘤的影像学表现与临床病理分析,临床放射学杂志,2021,187-190,187-190 [9] Matsuzawa, N, Nishikawa, T, Ohno, R, et al. Paraganglioma of the urinary bladder initially diagnosed as gastrointestinal stromal tumor requiring combined resection of the rectum: a case report. World J Surg Oncol. 2022; 20 (1): 185. doi: 10.1186/s12957-022-02662-7。 [10] 嗜铬细胞瘤和副神经节瘤诊断治疗专家共识(2020版)[J].中华内分泌代谢杂志,2020,36(09):737-750. [11] 张羽冠,汪一,徐宵寒,虞雪融,黄宇光.嗜铬细胞瘤切除术全身麻醉围术期血流动力学管理[J].临床麻醉学杂志,2019,(08):818-820. [12] 廖文峰,吴红章,卢剑,等.膀胱副神经节瘤的临床特点[J].中华泌尿外科杂志,2012,33(11):868-871. [13] ChengL,LeibovichBL,chevilleJC,etal.Paragangliomaoftheuri2narybladder:CanbiologilPotentialbePredicted?[J].Cancer,2000,88(4):844-852. [14] DahmP,GschwendJE.Malignantnon-urothelialneoplasmsoftheurinarybladder:arevicw[J].EurUrol,2003,44(6):672-681. [15] PanDL,LiHZ,ZengZP,etal.clinicaldiagnosisandtreatmentofnonfunctioningPheochromocytomasin14patients[J].ChinMedSciJ,2005,20(2):126-128. [16] GrignonDj,ROJyMackayB,etal.ParagangIiomaoftheurinarybladder:Immunohistochemical,ultrastructural,and DNAflowcytometric studies1Hum Pathol,1991,22(11):1162-11651.
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