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Extra Adrenal Paraganglioma: A Case Report with Review of Literature

Mashal Sanjay , Yalagachin Gurushantappa1 , Mashal Sanjay2 , Huchchannavar Suresh3 , B Jyothi4 , N Nisha5

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New Indian Journal of Surgery 10(1):p 117-120, January-February 2019. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10119.19

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Abstract

 Paragangliomas (extra-adrenal pheochromocytomas) are rare tumours that arise from extra adrenal chromaffin cells. Paragangliomas originate from para-ganglia at number of anatomical sites, including the head, neck, thorax and abdomen. Paragangliomas are characterized by secretions of excessive catecholamines. However, between 40 and 50% of paragangliomas are non-functional and/or potentially functional. Functional and potentially functional (difficult to diagnose preoperatively) paragangliomas during intraoperative handling of the tumour may cause a sudden release of catecholamines, leading to disastrous consequences [1]. We present a case of a middle aged male presenting with abdominal mass and pain was found to be a potentially functional paraganglioma intraoperatively. With this report we aim to raise awareness that a paraganglioma should be considered in differential diagnosis for intraabdominal tumours.

Keywords: Hypertensive crisis; Pheochromocytoma; Paraganglioma.


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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10119.19

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