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Case Report
Dysautonomia following radical cystectomy and intracorporeal orthotopic neobladder: A case report
1 Medical Student, Georgetown University School of Medicine, Washington, DC, USA
2 Resident Physician, Department of Urology, MedStar Georgetown University Hospital, Washington, DC, USA
3 Director of Urologic Oncology, Department of Urology, MedStar Washington Hospital Center, Washington, DC, USA
Address correspondence to:
Lan Anh S Galloway
MedStar Washington Hospital Center, 106 Irving St. NW, POB South Room 315, Washington, DC 20010,
USA
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Article ID: 100013Z15LG2021
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Galloway LAS, Dall CP, Stamatakis L. Dysautonomia following radical cystectomy and intracorporeal orthotopic neobladder: A case report. J Case Rep Images Urol 2021;6:100013Z15LG2021.ABSTRACT
Orthostatic hypotension and dysautonomia occur commonly after surgery, but there is little data regarding these complications in the genitourinary surgery population. This report presents the case of a 74-year-old male diagnosed with muscle-invasive bladder carcinoma who underwent radical cystectomy and creation of an intracorporeal orthotopic neobladder. Following surgery, he developed significant lightheadedness and was found to have orthostatic hypotension of unclear etiology. We postulate that this is likely multifactorial and due to a myriad of factors including postoperative weight loss, extensive lymph node dissection, presence of a hiatal hernia, and dietary contributions. This case report is the first of its kind to investigate and report on orthostatic hypotension as a postoperative complication of radical cystectomy and creation of an orthotopic ileal neobladder.
Keywords: Cystectomy, Dysautonomia, Orthostatic hypotension, Postoperative complication
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Author Contributions
Lan Anh S Galloway - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Christopher P Dall - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Lambros Stamatakis - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Lan Anh S Galloway et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
