Raj Gajbhiye, MS, Vikrant Akulwar, MS, FNB, Deepa Jahagirdar, MS, Arati Kirange, MS, Ram Khare, MBBS. GMC Nagpur
Paragangliomas arise from cluster of neuroendocrine cells associated with the sympathetic and parasympathetic nervous system. Paragangliomas at renal hilar region are rare.
We present a case of 31 years old female patient, who presented to us with left loin pain since one year. On investigations she was found to have a mass lesion near left renal hilum ?adrenal origin. We proceeded with laparoscopic surgery, tumor was present in left renal hilar region with renal vessels overlying the tumor, there were severe adhesions between the tumor and renal vessels which were inseparable, hence excision of the tumor enbloc with left kidney and adrenal gland was done. Postoperatively pt recovered well. Histipatholgy was a surprise, it came out to be paraganglioma, which was confirmed by immunohistochemistry. Patient is on our follow up for more than 6 months now and is doing well.
This case serve as a gentle reminder of suspected paraganglioma when tumor occurs at this rare location and also suggest that laparoscopy can be safe and effective in management of these tumors at this rare location.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 85125
Program Number: V211
Presentation Session: Wednesday Video Loop (Non CME)
Presentation Type: VideoLoop