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KMID : 0371320020630060517
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Journal of the Korean Surgical Society
2002 Volume.63 No. 6 p.517 ~ p.520
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Functioning Paraganglioma Manifested Cerebral Hemorrhage and Combined with Coronary Arterio-Venous Fistula
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Kim Won-Youn
Kang Koo-Jeong
Lim Tae-Jin
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Abstract
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Extra-adrenal pheochromocytomas, also called functioning paragangliomas are uncommon retroperitoneal tumor, manifesting with similar symptoms and signs to adrenal pheochromocytoma. In this report, we present a case of a 46-year-old women who had
paroxysmal hypertension and palpitation for four years. An abdominal mass, the size of an adult fist, was noted, with symptom of a cerebral hemorrhage and cardiac ischemia caused by a coronary arterio-venous fistula. The cerebral hemorrhage symptoms
were improved spontaneously. The abdominal mass determined to be a functioning paraganglioma by complete resection. The coronary arterio-venous fistula was surgically corrected a month after resection of the tumor. The patient was freed from the
symptoms and signs of a pheochromocytoma, including palpitations and hypertension. There has been no recurrence for a year and half following the removal of the mass.
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