Abstract
BackgroundParagangliomas are rare neuroendocrine tumors of extra adrenal origin. The symptomatic paragangliomas require multimodal treatment approach.Case PresentationWe report a case of 34-year-old female who presented with complains of headache and blurring of vision. Examination revealed Hypertensive crisis with grade 3 retinopathy. The patient was diagnosed as a case of extra-adrenal paraganglioma during evaluation for secondary hypertension. Magnetic Resonance Imaging of the abdomen revealed 23*28*28 mm mass lesion in the inter-aortocaval region at the level of L3–L4. The patient was started on medical management for hypertension and was managed safely with robot-assisted surgery, owing to enhanced visualization of feeding vessels and avoidance of excessive manipulation of tumor.ConclusionsOur case report emphasizes on the robot assisted surgical technique for the removal of tumor in a vulnerable anatomical position and presents a review of the literature.
Highlights
Paragangliomas are rare neuroendocrine tumors of extra adrenal origin
Our case report emphasizes on the robot assisted surgical technique for the removal of tumor in a vulnerable anatomical position and presents a review of the literature
Minimal invasive techniques are used recently in management of these tumors, we report a case of Interaortocaval paraganglioma managed with Robotic excision
Summary
They arise from chromaffin tissue derived from primitive neuroectoderm. Minimal invasive techniques are used recently in management of these tumors, we report a case of Interaortocaval paraganglioma managed with Robotic excision. The diagnosis of interaortocaval paraganglioma was made and subsequently robotic excision was planned. She was started on preoperative preparation with good hydration, started on alpha blockers, Angiotensin-Converting Enzyme inhibitors and calcium channel blockers; beta blockers were started after 1 week of alpha blockers. Tumor bulge was identified; on further dissection IVC was identified; gonadal vein was inadvertently injured and ligated. The attachments around the tumor were carefully dissected; 2 vein tributaries draining to IVC were identified and clipped.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
