Severe Hypertension during Transurethral Resection of a Bladder Tumor as a Result of an Undiagnosed Paraganglioma

A 59-year-old man presented with painless hematuria, urinary frequency, urgent micturition and dysuria was referred to the Urology Department. He had no history of hypertension or headaches associated with voiding. The patient was later diagnosed as having bladder tumor. During cystoscopy and resection of the bladder tumour, he developed severe, and difficult to control hypertension during surgery. Two days later, the resected bladder tumor was diagnosed by a pathologist to be a paraganglioma