Bladder paraganglioma in pediatric age: case report

Authors

  • Carlos Manuel Mojica Walteros Hospital Universitario San Rafael
  • Vanessa Caviedes R. Hospital Universitario San Rafael
  • Dayana Mora Castillo Hospital Universitario San Rafael
  • Ledmar Jovanny Vargas Rodríguez Hospital Universitario San Rafael

DOI:

https://doi.org/10.21615/cesmedicina.7214

Keywords:

paraganglioma, hypertensive emergency, catecholamines, neuroendocrine tumor, metanephrines

Abstract

Introduction: Paraganglioma is a neuroendocrine tumor of unusual presentation in the pediatric age. These are neoplasms that produce, store and secrete catecholamines or their respective metabolites, being an uncommon cause of secondary arterial hypertension in children. Clinical case: case of a male adolescent with paraganglioma located in the bladder, admitted to the pediatric intensive care unit due to emergency-type hypertensive crisis associated with hematuria. Conclusions: These tumors are rare and usually derive from extra-adrenal sympathetic nervous system chromaffin tissue and are called paragangliomas. Clinically, the patient presented the typical adrenergic picture given by a hypertensive crisis that did not present additional complications and the respective management was given.

Downloads

Download data is not yet available.

Author Biographies

Carlos Manuel Mojica Walteros, Hospital Universitario San Rafael

MD, intensivista pediatra, Unidad de cuidados intensivos pediátrico, Hospital Universitario San Rafael, Tunja, Colombia.

Vanessa Caviedes R., Hospital Universitario San Rafael

Médica, Unidad de cuidados intensivos pediátrico, Hospital Universitario San Rafael, Tunja, Colombia.

Dayana Mora Castillo, Hospital Universitario San Rafael

MD. Hospital Universitario San Rafael, Tunja, Colombia.

Ledmar Jovanny Vargas Rodríguez, Hospital Universitario San Rafael

MD. Hospital Universitario San Rafael, Tunja, Colombia.

References

Bunchman RBT. Review of Pediatric Pheochromocytoma and Paraganglioma. frontiers in pe. el 7 de julio de 2017;5(155):14.

McLain LG. Hypertension in childhood: A review. American Heart Journal. noviembre de 1976;92(5):1.

Turcios RAS. Feocromocitoma: Diagnóstico y tratamiento. Revista Mexicana card. septiembre de 2010;21(3):14.

Sarathi V. Characteristics of Pediatric Pheochromocytoma/paraganglioma. I. 2017;21(470):5.

Herbert Chen, Rebeca Sippel, Sue O´Dorisio, Aaron Vinik, Ricardo Lloyd, Karel Pacak. Pheochromocytoma, Paraganglioma, and Medullary Thyroid Cancer. North American Neuroendocrine Tumor Society (NANETS). agosto de 2010;39(6):9.

Clifton-Bligh DBBR. 15 YEARS OF PARAGANGLIOMA Clinical manifestations of paraganglioma syndromes types 1–5. Endocrine. 2015;22(91):13.

Svenja Nölting, Martin Ullrich, Jens Pietzsch, Christian Ziegler, Graeme Eisenhofer, Ashley Grossman, Karel Pacak. Current Management of Pheochromocytoma/Paraganglioma: A Guide for the Practicing Clinician in the Era of Precision Medicine. Cancers. 2019;11(1505):27.

Shuch B, Ricketts CJ, Metwalli AR, Pacak K, Linehan WM. The genetic basis of pheochromocytoma and paraganglioma: implications for management. Urology. 2014 Jun;83(6):1225-32. doi: 10.1016/j.urology.2014.01.007. Epub 2014 Mar 15. PMID: 24642075; PMCID: PMC4572836.

Victoria Martucci KP. Pheochromocytoma and Paraganglioma: Diagnosis, Genetics, Management, and Treatment. Curr probl. 2014;38(1):47.

Zainab Azam Farooqui AC. Neuroendocrine Tumors in Pediatrics. global pedia. el 4 de verano de 2019;6(1–7):7.

Farooqui, Z. A., & Chauhan, A. (2019). Neuroendocrine Tumors in Pediatrics. Global pediatric health, 6, 2333794X19862712. doi.org/10.1177/2333794X19862712

Malik, A. A., Afandi, B., Jamil, G., & Akhter, S. M. (2013). Paraganglioma of urinary bladder. BMJ case reports, 2013, bcr2013010063. doi.org/10.1136/bcr-2013-010063

Lenders JW, Pacak K, Walther MM, Linehan WM, Mannelli M, Friberg P, Keiser HR, Goldstein DS, Eisenhofer G. Biochemical diagnosis of pheochromocytoma: which test is best? JAMA. 2002 Mar 20;287(11):1427-34. doi: 10.1001/jama.287.11.1427. PMID: 11903030.

Ludwig AD, Feig DI, Brandt ML, Hicks MJ, Fitch ME, Cass DL. Recent advances in the diagnosis and treatment of pheochromocytoma in children. Am J Surg. 2007 Dec;194(6):792-6; discussion 796-7. doi: 10.1016/j.amjsurg.2007.08.028. PMID: 18005773.

de Paula Miranda E, Lopes RI, Padovani GP, Moscardi PR, Nishimura FG, de Mendonça BB, Carnevale FC, Cristofani LM, Duarte RJ, Srougi M, Denes FT. Malignant paraganglioma in children treated with embolization prior to surgical excision. World J Surg Oncol. 2016 Feb 2;14(1):26. doi: 10.1186/s12957-016-0778-8. PMID: 26837305; PMCID: PMC4736257.

A. Mosquera Gorostidi ∗, A. Justo Ranera, S.E. Zakirian Denis, N. Feocromocitoma y paraganglioma en la infancia: a propósito de 2 casos. An Pediatr (Barc). 2015;82(1):e175---e180.

Published

2023-10-27

How to Cite

Mojica Walteros, C. M., Caviedes R., V., Mora Castillo, D., & Vargas Rodríguez, L. J. (2023). Bladder paraganglioma in pediatric age: case report. CES Medicina, 37(2), 74–78. https://doi.org/10.21615/cesmedicina.7214

Issue

Section

Reporte de caso
Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views