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Updated: Aug 15, 2025

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
A young patient with heart failure was diagnosed with extra-adrenal paraganglioma: a case report
Jing Zhang1, Lihua Cao1, Lina Yan1
1Respiratory Department, The Second Hospital of Dalian Medical University, 467 Zhongshan Road, Shahekou District, Dalian, Liaoning, China.
Background:
We present a case of pelvic paraganglioma that presented with heart failure as the primary symptom.
Case Presentation:
A 35-year-old man was admitted to hospital due to heart failure. Contrast-enhanced pelvic CT showed mass shadows in the posterior wall of the bladder and multiple enlarged lymph nodes in the retroperitoneal area. Ultrasound-guided puncture was performed, and the pathologic diagnosis was extra-adrenal paraganglioma. The patient refused any chemotherapy and died within six months of diagnosis.
Conclusion:
The possibility of neuroendocrine-related tumors, for example paragangliomas, should be considered in young patients with heart failure, especially those with concomitant hypertension and diabetes.
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