후복막강에서 발생한 부신경절종

• Published in: Annals of surgical treatment and research Vol. 75; no. 6; pp. 434 - 438
• Main Authors: 김용석(Yong Seok Kim), 황준영(Jun Young Hwang), 안지현(Ji Hyun Ahn), 김미경(Mi Kyung Kim), 박준석(Jun Seok Park), 최유신(Yoo Shin Choi), 김범규(Beom Gyu Kim), 박용검(Yong Gum Park), 지경천(Kyung Chun Chi), 이정효(Jung Hyo Lee), 임현묵(Hyun Muck Lim), 정세민(Se Min Chong)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.12.2008
• Subjects: 일반외과학; Retroperitoneum; 후복막강; Paraganglioma; 부신경절종
• ISSN: 2288-6575; 2288-6796

Paragangliomas are rare tumors that arise from the extraadrenal chromaffin cells. We report here on a case of retroperitoneal paraganglioma in a 24-year-old young man. Abdomen CT and magnetic resonance imaging showed a hypervascular mass near the left ureter. He had not felt paroxysmal palpitation and his vital signs were within the normal range. An exploratory laparotomy revealed a 7.2×5.5 cm sized mass below the jejunum and near the aorta, and this mass had adhesion to the left ureter. It was histologically diagnosed with a paraganglioma after the surgical resection. Although there was an increase of blood pressure on palpation during surgery, the postoperative course was uneventful. When we consider the unusual locations and the associated operative risk, we should take care to rule out the possibility of a functional paraganglioma in the preoperative differential diagnosis of an abdominal mass. (J Korean Surg Soc 2008;75:434-438) KCI Citation Count: 1