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Case Reports
. 2011:2011:748543.
doi: 10.1155/2011/748543. Epub 2012 Jan 22.

An unusual case of gastrointestinal bleeding

Kristin N Fiorino  1 , Brian Lestini, Kim E Nichols, Sudha A Anupindi, Asim Maqbool
Affiliations
Case Reports

An unusual case of gastrointestinal bleeding

Kristin N Fiorino et al. Case Rep Pediatr. 2011.

Abstract

A 10-year-old boy presented with a 3-day history of worsening abdominal pain, fever, emesis and melena. Abdominal ultrasound revealed a right upper quadrant mass that was confirmed by computed tomography angiogram (CTA), which showed an 8 cm well-defined retroperitoneal vascular mass. (123)Iodine metaiodobenzylguanidine ((123)MIBG) scan indicated uptake only in the abdominal mass. Subsequent biopsy revealed a paraganglioma that was treated with chemotherapy. This case represents an unusual presentation of a paraganglioma associated with gastrointestinal (GI) bleeding and highlights the utility of CTA and (123)MIBG in evaluation and treatment.

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Figures

Figure 1
Figure 1
(a) Abdominal radiograph shows midline displacement of bowel loops by a soft tissue density (black arrows) without calcifications and no bowel obstruction. (b) Coronal CTA shows the markedly enhancing mass (orange arrowhead) displacing the aorta (A) and IVC (I) and its close proximity to the 3rd portion of the duodenum (yellow arrow). (c) A maximum intensity projection from the CTA depicts gastroduodenal artery GD (arrow) as the primary feeder of the paraganglioma.
See this image and copyright information in PMC

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References

    1. Timmers HJLM, Pacak K, Huynh TT, et al. Biochemically silent abdominal paragangliomas in patients with mutations in the succinate dehydrogenase subunit B gene. Journal of Clinical Endocrinology and Metabolism. 2008;93(12):4826–4832. - PMC - PubMed
    1. Waguespack SG, Rich T, Grubbs E, et al. A current review of the etiology, diagnosis, and treatment of pediatric pheochromocytoma and paraganglioma. Journal of Clinical Endocrinology and Metabolism. 2010;95(5):2023–2037. - PubMed
    1. Rha SE, Byun JY, Jung SE, Chun HJ, Lee HG, Lee JM. Neurogenic tumors in the abdomen: tumor types and imaging characteristics. Radiographics. 2003;23(1):29–43. - PubMed
    1. Disick GIS, Palese MA. Extra-adrenal pheochromocytoma: diagnosis and management. Current Urology Reports. 2007;8(1):83–88. - PubMed
    1. Witkiewicz A, Galler A, Yeo CJ, Gross SD. Gangliocytic paraganglioma: case report and review of the literature. Journal of Gastrointestinal Surgery. 2007;11(10):1351–1354. - PubMed

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