Muscle invasive bladder cancer presenting as recurrent autonomic dysreflexia - a wolf in wolf's clothing.

Autor: Fitzpatrick R; Division of Urology, Department of Surgery, University of Ottawa, The Ottawa Hospital, Ottawa, Ontario, Canada., Baverstock R; Vesia [Alberta Bladder Centre], Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
Jazyk: angličtina
Zdroj: The journal of spinal cord medicine [J Spinal Cord Med] 2020 Jul; Vol. 43 (4), pp. 540-543. Date of Electronic Publication: 2018 Jun 20.
DOI: 10.1080/10790268.2018.1487188
Abstrakt: Context: Autonomic dysreflexia is a potentially lethal condition experienced by spinal cord injury (SCI) patients. It has a wide range of causes, most of which are genitourinary in nature. However, there has been no documented case of primary bladder cancer as a trigger for recurrent autonomic dysreflexia. Findings: We present a case of a 51-year-old spinal cord injury patient with multiple presentations of autonomic dysreflexia. Work up revealed locally invasive bladder cancer, and following definitive surgery, his symptoms were alleviated. Conclusions: In SCI patients with recurrent AD, comprehensive work up with involvement of a specialized Urologist is required as AD may be the only presenting symptom of a serious underlying medical condition.
Databáze: MEDLINE