ISSN 1308-8734 | E-ISSN 1308-8742
Case Report
Non-functioning Aortocaval Paraganglioma Masquerading as Celiac Lymphnodal Metastasis
1 Department of General Surgery, Kasturba Medical College, Manipal University, Manipal, India  
2 Department of General Surgery, Kasturba Medical College, Manipal, India  
3 Department of Cardiothoracic and Vascular Surgery, Kasturba Medical College, Manipal University, Manipal, India  
4 Department of Obstetrics and Gynecology, Kasturba Medical College, Manipal University, Manipal, India  
5 Department of Pathology, Kasturba Medical College, Manipal University, Manipal, India  
Eurasian J Med 2014; 46: 53-56
DOI: 10.5152/eajm.2014.10
Key Words: Aorta, venacava, lymph node, paraganglioma, surgery
Abstract

An extra-adrenal paraganglioma is a rare tumour derived from chromaffin cells of sympathetic ganglia. This report documents a rare case of a non-functional aortocaval paraganglioma in a 24-year-old woman with persistent abdominal pain. Computed tomography revealed a solid mass, measuring 2.5x3cms, localized between the celiac trunk and superior mesenteric artery in aortocaval location along with right ovarian cystic mass. A clinical diagnosis of malignant ovarian tumour with celiac nodal metastasis was made. Excision and pathological analysis of both revealed an aortocaval extra-adrenal paraganglioma and benign ovarian cyst. On serial follow-up the patient was in a good health, asymptomatic and without evidence of tumour recurrence. This case emphasizes the necessity of including extra-adrenal paraganglioma in the differential diagnosis and management of retroperitoneal tumours, despite its rarity.

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