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CASE REPORT
Year : 2013  |  Volume : 17  |  Issue : 6  |  Page : 1124-1126

An unusual case of paraganglioma


Departments of Endocrinology Diabetology and Metabolism, MIOT Hospitals, Mount Poonamalee Road, Manapakkam, Chennai, India

Correspondence Address:
V Parghi
Department of Endocrinology Diabetology and Metabolism, MIOT Hospitals, Mount Poonamalee Road, Manapakkam, Chennai 89
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.122647

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Pheochromocytomas or Paragangliomas are neroendocrine tumors elaborating catecholamines. They may not present always in a classic manner and a high degree of suspicion is important in diagnosing them early. They can grow large enough to impinge on the great vessels and yet symptoms may not indicate the severity until late. A young African 32 year old Male presented with occasional headaches, moderate weight loss, abdominal pain and hypertension for three years. On investigation for hypertension a large paraganglioma was discovered wrapped around the Aorta and vena cava. He was operated successfully after preoperative preparation and was discharged normotensive. Conclusion: Young hypertensive should always be worked up fully including checking for abdominal masses. The classic paroxysm was absent in this case. After surgical removal the catecholamines elaborated by the tumor also take time to be washed out of the circulation thus the blood pressure will need careful monitoring. Conventional alpha blockage fi rst and beta blockage later was the algorithm followed but choice of agent was also discussed with nesthethesiologist. Though classically taught phenoxy benzamine is used, in this case it was not used and a combination of Prazosin and Propranolol was used successfully.


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