Retroperitoneoscopic resection of a primary retroperitoneal paraganglioma occurring between the aorta and vena cava: A case report

• Published in: Asian journal of endoscopic surgery Vol. 16; no. 1; pp. 139 - 142
• Main Authors: Nishikimi, Toshinori, Kashima, Ayano, Yamada, Hiroshi, Mizuno, Hideki, Ohashi, Tomoyoshi, Ishiguro, Shigeki, Morikami, Hiroko
• Format: Journal Article
• Language: English
• Published: Kyoto, Japan John Wiley & Sons Australia, Ltd 01-01-2023; Wiley Subscription Services, Inc
• Subjects: Aged; Aorta - pathology; Case reports; Gastric cancer; Humans; Laparoscopy; Male; Neuroendocrine tumors; paraganglioma; Paraganglioma - complications; Paraganglioma - diagnostic imaging; Paraganglioma - surgery; retroperitoneal laparoscopic surgery; retroperitoneal neoplasm; Retroperitoneal Neoplasms - diagnostic imaging; Retroperitoneal Neoplasms - pathology; Retroperitoneal Neoplasms - surgery; Retroperitoneal Space; Tumors; Vena Cava, Inferior - pathology; Vena Cava, Inferior - surgery; paraganglioma; retroperitoneal laparoscopic surgery; retroperitoneal neoplasm
• ISSN: 1758-5902; 1758-5910
• DOI: 10.1111/ases.13124

A 67‐year‐old man presented with lower limb weakness, palpitations, and insomnia. His urinary total metanephrine and normetanephrine levels were high. Computed tomography showed a 48 × 34‐mm oval mass on the dorsal side of the pancreas and portal vein between the aorta and vena cava. Because of the tumor location, we performed laparoscopic surgery using a retroperitoneal approach. We described a case of a patient with primary retroperitoneal paraganglioma between the aorta and vena cava who underwent retroperitoneoscopic resection. Our case suggests that this procedure can be safely performed.