Left subdiaphragmatic paraganglioma supplied by contralateral right renal artery.

International Journal of Surgery Case Reports
Jaime D MartinezDavid R Farley

Abstract

Paragangliomas are neuroendocrine tumors of the autonomic nervous system that arise from neural crest cells. Paragangliomas are typically extra-adrenal, non-functional and can be discovered incidentally, posing diagnostic and therapeutic challenges. We present the unusual case of a young man who presented with an acute abdomen secondary to small bowel obstruction, and was found to have an incidental left-sided subdiaphragmatic paraganglioma supplied by a branch of the contralateral right renal artery. Emergent laparotomy revealed an internal hernia as the source of the small bowel obstruction. Initial attempts to remove an incidental left subdiaphragmatic mass were aborted because of bleeding. Subsequently, after preoperative superselective embolization of the feeding vessel arising from the right renal artery, the mass was successfully resected. Pathology was consistent with a paraganglioma. This report highlights the rarity of the location and blood supply of an incidental left subdiaphragmatic paraganglioma found in the setting of a small bowel obstruction.

References

Jan 1, 1985·Cardiovascular and Interventional Radiology·J LammerR Pettek
Jul 1, 1972·Stomatologii︠a︡·N M Aleksandrov, A N Shmel'kov
Apr 17, 1999·European Journal of Obstetrics, Gynecology, and Reproductive Biology·T TohyaH Okamura
May 20, 1999·The Journal of Urology·R E JimenezD J Grignon
Nov 10, 2001·The Journal of Clinical Endocrinology and Metabolism·D EricksonW F Young
Apr 27, 2004·Surgical Endoscopy·C N GuttM W Büchler
Aug 4, 2004·Annals of Diagnostic Pathology·Cheri L Aubertine, Douglas B Flieder
Sep 1, 2004·The Annals of Thoracic Surgery·Ryszard W LupinskiKent Mancer
Jan 24, 2007·Current Urology Reports·Grant I S Disick, Michael A Palese
Jan 29, 2008·World Journal of Surgery·James A Lee, Quan-Yang Duh
Apr 17, 2008·Nihon Jibiinkoka Gakkai kaiho·Shinya MoritaSatoshi Fukuda
Mar 5, 2009·Endocrine Pathology·Nicolás González PoggioliMaría Teresa Yebra Pimentel
Apr 2, 2010·Journal of Cardiothoracic Surgery·Ori WaldUzi Izhar
Jul 21, 2010·Journal of Medical Case Reports·Dan-Feng XuXin-Gang Cui
Jul 1, 1946·The British Journal of Surgery·C E P MARKBY
Dec 29, 2010·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·Guillermo SangsterMaureen Heldmann
Feb 10, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Jamie MitchellEren Berber
Apr 23, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Georgios PapadimitriouAlexandros Papakonstantinou

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