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Incidental Mesenteric Paraganglioma: A Case Report and Literature Review
Jennie Granger1, Roy Mahapatra1, Bushra Hamid1
1Colorectal Surgical Department, Countess of Chester Hospital NHS Foundation Trust, Countess of Chester Health Park, Chester, United Kingdom.
Annals of Coloproctology
|November 22, 2017
Summary
Mesenteric paragangliomas are rare tumors. This case report details a patient with a mesenteric paraganglioma, emphasizing diagnosis, imaging, and surgical management of these rare abdominal tumors.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Mesenteric paragangliomas are exceptionally rare tumors, with limited documented cases.
- While often benign and incidentally discovered, they carry a risk of metastasis, necessitating careful consideration in patients with mesenteric masses.
Purpose of the Study:
- To present a case of mesenteric paraganglioma in a 71-year-old woman initially misdiagnosed as an ovarian mass.
- To discuss key aspects of paraganglioma management, including diagnostic imaging, genetic testing, and surgical resection, supported by a literature review.
Main Methods:
- Case presentation of a 71-year-old female with an intra-abdominal mass.
- Diagnostic workup including magnetic resonance imaging (MRI).
- Surgical resection of the tumor and adjacent small bowel, followed by histological confirmation.
Main Results:
- An incidental, large, complex intra-abdominal mass was identified via MRI.
- Histological examination confirmed the mass as a mesenteric paraganglioma.
- The patient underwent successful open resection without perioperative complications.
Conclusions:
- Mesenteric paragangliomas, though rare, require thorough diagnostic evaluation due to metastatic potential.
- Accurate diagnosis through advanced imaging and genetic testing is crucial.
- Surgical resection is a key management strategy for mesenteric paragangliomas.