Paraganglioma of the left common iliac artery: case report and review of the literature


  • Garima Kumari SMS Hospital, Jaipur, Rajasthan, India



Pheochromocytoma, Extraadrenal, Paraganglioma, Neuroendocrine tumours, Organs, Patients


Paraganglioma is a neoplasm derived from the neural crest of the neuroendocrine system. Head and neck account for its more frequent localizations. Parasymphatic paraganglioma have been encountered at cauda equina and iliac vessels. A 37–year old female patient with abdominal pain diagnosed as adnexal mass was surgically operated on at the SMS medical college and research group in Jaipur, Rajasthan, India. During surgery, a retroperitoneal mass was found located lateral to the common left iliac artery. It was completely resected. Microscopic study established characteristics of paraganglionoma. Patient outcome was good. Scanning for other tumour site was negative.


de Graaf JS, Nieweg OE, Oosterkamp AE, Zwierstra RP. Results of 25 years of treatment of Phaeochromocytoma. Nederlands Tijdschrift voor Geneeskunde. 1997;141:148-51.

Tohya T, Yoshimura T, Honda Y, Miyoshi J, Okamura H. Unsuspected extra-adrenal pheochromocytoma simulating ovarian tumor. Eur J Obstet Gynecol and Reprod Biol. 1999;82:217-8.

Messerli FH, Michalewicz L. Clinical and experimental pheochromocytoma. JAMA. 1997;278(1):78-9.

Lenders JW, Eisenhofer G, Mannelli M, Pacak K. Phaeochromocytoma. Lancet. 2005;366(9486):665-75.

Lenders JW, Pacak K, Walther MM, Linehan WM, Mannelli M, Friberg P, Keiser HR, Goldstein DS, Eisenhofer G. Biochemical diagnosis of pheochromocytoma: which test is best? JAMA. 2002;287(11):1427-34.

Motta-ramirez, Remer EM, Herts BR. Comparison of CT findings in symptomatic and incidentally discovered pheochromocytomas. AJR Am J Roentgenol. 2005;185(3):684-8.

Ilias I, Divgi C, Pacak K. Current role of MIBG in the diagnosis of pheochromocytoma and medullary thyroid cancer. SeminNucl Med. 2011;41(5):364-8.

Scholz T, Eisenhofer G, Pacak K. Clinical review: Current treatment of malignant pheochromocytoma. J Clin Endocrinol Metab. 2007;92(4):1217-25.

Pacak K. preoperative management of the pheochromocytoma patient. J Clin Endocrinol Metab. 2007;92(11):4069-79.

Pacak K, Eisenhofer G, Ahlman H. Pheochromocytoma: recommendations for clinical practice from the first international symposium. October 2005. Nat Clin Pract Endocrinol Metab. 2007;3(2):92-102.

Khorram-Manesh, Ahlman H, Nilsson O. long term outcome of a large series of patients surgically treated for pheochromocytoma. J Inten Med. 2005;258(1):55-6.






Case Reports