Abstract

Paraganglioma is a rare catecholamine-secreting tumor, that is, found anywhere in the line of the sympathetic chain and that of the parasympathetic ganglia. They usually present with severe hypertension which can be challenging to the surgeon during the management. We successfully managed a 28-year-old lady who presented with a 6 year history of episodic hypertension, palpitation, insomnia, excessive sweating, and weight loss. An abdominal ultrasonography and computed tomography scan showed a retroperitoneal mass in front of the left kidney. She subsequently had exploratory laparotomy and excision of the tumor with resolution of symptoms. Histology of the mass revealed features consistent with a paraganglioma. She is presently being followed up in our surgical out-patient clinic.

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