Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 6, 2023; 11(10): 2276-2281
Published online Apr 6, 2023. doi: 10.12998/wjcc.v11.i10.2276
Primary intra-abdominal paraganglioma: A case report
Wei Guo, Wei-Wei Li, Min-Jie Chen, Ling-Yu Hu, Xiao-Guang Wang
Wei Guo, Graduate School, Zhejiang Chinese Medicine University, Hangzhou 310053, Zhejiang Province, China
Wei Guo, Department of General Surgery, Jiaxing The Second Hospital, Jiaxing 314000, Zhejiang Province, China
Wei-Wei Li, Min-Jie Chen, Ling-Yu Hu, Xiao-Guang Wang, Department of Hepatobiliary Surgery, Jiaxing The Second Hospital, Jiaxing 314000, Zhejiang Province, China
Author contributions: Li WW and Chen MJ contributed to the treatment of case and data collection; Guo W, Hu LY, and Wang XG contributed to the writing and revising the manuscript; All authors have read and approve the final version of manuscript.
Supported by Jiaxing Science and Technology Planning Project, No. 2020AY30017.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Guang Wang, Doctor, Academic Editor, Doctor, Department of Hepatobiliary Surgery, Jiaxing The Second Hospital, No. 1518 Huancheng North Road, Nanhu District, Jiaxing 314000, Zhejiang Province, China. xiaoguangwangs@163.com
Received: December 26, 2022
Peer-review started: December 26, 2022
First decision: January 20, 2023
Revised: January 29, 2023
Accepted: March 3, 2023
Article in press: March 3, 2023
Published online: April 6, 2023
Processing time: 94 Days and 2.7 Hours
Abstract
BACKGROUND

Paragangliomas are rare neuroendocrine tumors. We hereby report a case of a localized paraganglioma found in the abdominal cavity, and review the relevant literature to improve the understanding of this disease.

CASE SUMMARY

A 29-year-old Chinese female patient was referred to our hospital due to an abdominal mass found on physical examination. Imaging revealed a mass in the left upper abdomen, suggestive of either a benign stromal tumor or an ectopic accessory spleen. Laparoscopic radical resection was subsequently performed, and histopathological analysis confirmed the diagnosis of a paraganglioma. The patient was followed up 3 months post-operation, and reported good recovery with no metastasis.

CONCLUSION

Radical resection can effectively treat intra-abdominal paragangliomas, with few side effects and low recurrence risk. In addition, early and accurate diagnosis and timely intervention are essential for the prognosis of this disease.

Keywords: Abdominal cavity; Paraganglioma; Surgical treatment; Case report

Core Tip: Intraperitoneal paraganglioma is clinically rare without characteristic imaging findings, and many clinicians may never encounter it. However, clinicians must remain vigilant to suspect, identify, locate, and remove the tumor, as the associated symptoms and hypertension can be cured by surgical resection. If the tumor is not diagnosed and removed, there is a risk of death and heart disease. Therefore, due to the small number of cases, the lack of understanding of its clinical features and imaging signs, especially easy to miss diagnosis.