title: Non-functioning Aortocaval Paraganglioma Masquerading as Celiac Lymphnodal Metastasis.
abstract: An extra-adrenal paraganglioma is a rare tumour derived from chromaffin cells of sympathetic ganglia. This report documents a rare case of a non-functional aortocaval paraganglioma in a 24-year-old woman with persistent abdominal pain. Computed tomography revealed a solid mass, measuring 2.5x3cms, localized between the celiac trunk and superior mesenteric artery in aortocaval location along with right ovarian cystic mass. A clinical diagnosis of malignant ovarian tumour with celiac nodal metastasis was made. Excision and pathological analysis of both revealed an aortocaval extra-adrenal paraganglioma and benign ovarian cyst. On serial follow-up the patient was in a good health, asymptomatic and without evidence of tumour recurrence. This case emphasizes the necessity of including extra-adrenal paraganglioma in the differential diagnosis and management of retroperitoneal tumours, despite its rarity.
authors.affiliation: Department of General Surgery, Kasturba Medical College, Manipal University, Manipal, India.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Gulavani
authors.affiliation: Department of General Surgery, Kasturba Medical College, Manipal University, Manipal, India.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Rodrigues
authors.affiliation: Department of General Surgery, Kasturba Medical College, Manipal University, Manipal, India.
authors.forename: Raghunath
authors.initials: R
authors.lastname: Prabhu
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Kasturba Medical College, Manipal University, Manipal, India.
authors.forename: Ganesh
authors.initials: G
authors.lastname: Kamath
authors.affiliation: Department of Obstetrics and Gynecology, Kasturba Medical College, Manipal University, Manipal, India.
authors.forename: Lavanya
authors.initials: L
authors.lastname: Rai
authors.affiliation: Department of Pathology, Kasturba Medical College, Manipal University, Manipal, India.
authors.forename: Lakshmi
authors.initials: L
authors.lastname: Rao
keywords: Aorta; lymph node; paraganglioma; surgery; venacava