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Successful laparoscopic resection of a paraganglioma immediately behind the inferior vena cava and bilateral renal veins
Author(s) -
Hakariya Tomoaki,
Shida Yohei,
Ito Hidenori,
Ueda Yasufumi,
Kurata Hiroki,
Ohtsubo Asato,
Miyata Yasuyoshi,
Sakai Hideki,
Furusato Bungo
Publication year - 2019
Publication title -
iju case reports
Language(s) - English
Resource type - Journals
ISSN - 2577-171X
DOI - 10.1002/iju5.12097
Subject(s) - inferior vena cava , medicine , paraganglioma , resection , surgery , radiology , left renal vein
Paragangliomas have a rich blood flow and are located around large vessels; thus, resection is often difficult. We herein report a case of a paraganglioma that was located immediately behind the inferior vena cava and bilateral renal veins and successfully resected by laparoscopic surgery. Case presentation A 72‐year‐old man was incidentally diagnosed with a 7‐cm retroperitoneal mass immediately behind the inferior vena cava and bilateral renal veins by computed tomography. The mass was diagnosed as a retroperitoneal paraganglioma. The patient underwent laparoscopic surgery in the left lateral decubitus position. The tumor was dissected completely with no complications. Conclusion Resection of retroperitoneal paragangliomas is often a surgical challenge. The feasibility of the laparoscopic approach to such paragangliomas was demonstrated in the present case.

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