Abstract
To the Editor.— Neuroblastomas originating from sacral sympathetic ganglia comprised only 4.4% of 1,270 cases compiled from recently reported series. 1-3 Being extra-adrenal, sacral neuroblastomas often respond well to therapy, even when they are very large and cannot be completely resected. 2,4 Report of a Case.— A 16-month-old black boy was examined because of urinary retention for one day and the presence of a fever for two days, and infrequent urination and constipation for three months' duration. The child had been anorexic for one week. He was noted to have abdominal distention on the day of admission to the hospital emergency room, where 350 ml of urine was obtained by catheterization. His temperature was 40.0 C; blood pressure, 120/70 mm Hg. A nonmobile 5-cm mass was found on the right posterolateral rectal wall. Urinary catecholamines were markedly increased (urinary vanilmandelic acid and homovanillic acid concentrations were both greater than 100μg/mg
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