Laparoscopic excision of a celiac paraganglioma
Epublication WebSurg.com, Mar 2017;17(03). URL: http://websurg.com/doi/vd01en4900
A 72-year-old woman was addressed to the endocrinologist for arterial hypertension and US finding of a 5cm nodule in the aortocaval space of the celiac region. The diagnostic workup revealed raised urinary metanephrines. A CT-scan confirmed the US findings, and the nodule was also positive at PET CT-scan. A fine needle biopsy was performed, which was suggestive of a paraganglioma. Medical treatment with Doxazosine 44mg qd was required for the adequate control of hypertension, and surgical excision was required. A laparoscopic lateral transabdominal approach was chosen, to displace the hepatoduodenal ligament and allow for a wide access to the inferior vena cava. The operative time was 75 minutes. The patient recovered with no complications and was discharged on postoperative day 3. Her symptoms recovered and she was found with normal metanephrines at follow-up.