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[Spontaneous hemoperitoneum complicating intraperitoneal paraganglioma]
L el Allame1, S Belkhayat, L Chkoff
1Urgences Chirurgicales Viscérales, C.H.U., Hôpital Avicenne, Rabat - Maroc.
Journal De Chirurgie
|April 1, 1989
Summary
A rare abdominal paraganglioma caused significant ascites and hemoperitoneum in a young man. Surgical resection was successful, highlighting the importance of considering paraganglioma in unexplained abdominal masses.
Area of Science:
- Oncology
- Surgical Pathology
- Vascular Surgery
Background:
- Ascites and abdominal masses can present diagnostic challenges.
- Portal hypertension is a common cause of ascites, but other etiologies must be considered.
Observation:
- A 27-year-old male presented with progressive ascites and anemia.
- Imaging revealed an abdomino-pelvic mass with hemorrhagic ascites and hemoperitoneum.
- Diagnostic arteriography showed a poorly vascularized mass.
Findings:
- Emergency surgery identified a large, encapsulated abdomino-pelvic mass with omental vascular supply.
- Rupture of the mass led to 7 liters of hemoperitoneum.
- Pathological examination confirmed the mass as a paraganglioma.
Implications:
- This case underscores the importance of considering rare tumors like paraganglioma in the differential diagnosis of abdominal masses and ascites.
- Successful surgical management of this large paraganglioma demonstrates the feasibility of complete resection.
- Further research into the pathogenesis and optimal treatment of such rare tumors is warranted.