Fever of unknown origin: a rare retroperitoneal cause.
The authors present a patient with fever of unknown origin and vague loin pain. Baseline investigations revealed elevated inflammatory markers and imaging eventually identified a renal mass. Radical nephrectomy was performed at a collaborative surgical list involving both the urology and vascular surgical teams. Histological examination confirmed a retroperitoneal paraganglioma and the patient made a rapid recovery and remains well at follow-up. This case draws attention to the rare diagnosis of retroperitoneal paraganglioma and the potential for diagnostic delay. Furthermore, the vital multi-disciplinary approach to the optimum management of patients with such tumours is highlighted.
General Surgery Department, Royal Glamorgan Hospital, Llantrisant, UK.
Llion L
LL
Davies
Jason M
JM
Fitchett
David
D
Jones
D000328:Adult; D057210:Delayed Diagnosis; D003937:Diagnosis, Differential; D005260:Female; D005335:Fever of Unknown Origin / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D010235:Paraganglioma / Q000150:complications* / Q000175:diagnosis; D012186:Retroperitoneal Neoplasms / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed