Asymptomatic bladder phaeochromocytoma in a 7‐year‐old boy

Abstract

Bladder phaeochromocytoma in a child is very rare. In the case presented here, it was an incidental finding in the youngest child reported in the literature. The phaeochromocytoma was located at the right ureterovesical junction causing obstruction, resulting in hydronephrosis. The dilemma in the diagnosis and management of this challenging condition is presented. The absence of typical symptoms of phaeochromocytoma is emphasized.

Paraganglioma of the Bladder: Controversy regarding Treatment

“…This occurred in our patients and in many reported cases [5,6,[15][16][17] , in whom a secreting tumor was suspected at the time that symptoms were triggered with manipulation of the lesion [5][6][7]16] or, in those with little or no hormone activity, after histological study [5,6,10,17] .…”

“…1% of all paragangliomas and pheochromocytomas. They seem to occur more frequently in women than in men (3: 2) and during the 2nd decade of the life span, although cases have been described in all age groups [5][6][7][8][9][10] .…”

“…The most commonly used procedure is partial cystectomy, the extent of which depends on the specifi c case. Sometimes a homolateral pelvic-iliac lymph node dissection is also performed [5,6,24] and in infrequent cases an inferior aortocaval lymph node dissection [13] . One case treated with laparoscopic partial cystectomy has been described [25] .…”

Micturitional headache in a young girl

“…Bladder pheochromocytomas occur between ages 11 and 78 years, with a peak incidence from the third to fifth decades of life. Pediatric cases are rare [1,5,8,12].…”

“…Only a few cases of pheochromocytoma of the urinary bladder in pediatric patients have been reported in the literature since 1960 [1,5,7,8,10,12]. Most of the tumors were hormonally active and caused characteristic sympathetic symptoms [9].…”