[Preoperative embolization of abdominal paraganglioma: case report].
Paragangliomas is a pheochromocytoma of extra adrenal localization. The case report is a male, 55 years old who presented symptoms of adrenergic hyperstimulation associated to an abdominal mass diagnosed as paraganglioma by a biopsy. Because of its size, localization and vascularization, an aortography with embolization of the nutrient branches of the tumor was done pre-operatively. Four days later, a surgical ressection was performed, and the tumor was adhered to the duodenum, infra-renal aorta and inferior vena cava. We believe that an angiographic study pre-operatively with embolization makes possible an analysis of the anastomosis and arterial supplement, making the ressecability of the tumor safer, although it seems the surgical intervention should have been done earlier.
Nakamura
Fernando
F
Departamento de Cirurgia, Faculdade Ciências Médicas, Santa Casa de São Paulo, São Paulo, SP. dr.nakamura@yahoo.com.br
Silva
Rodrigo Altenfelder
RA
dos Santos
Vanessa Prado
VP
Razuk Filho
Alvaro
A
Caffaro
Roberto Augusto
RA
D000008:Abdominal Neoplasms / Q000601:surgery / Q000628:therapy*; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D008875:Middle Aged; D010235:Paraganglioma / Q000601:surgery / Q000628:therapy*; D011300:Preoperative Care