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Case Report A case of Paraganglioma Arising in the Transverse Mesocolon.
Hong Il Kim, Bo kyung Koo, You Jin Lee, Jin Taek Kim, Young Min Cho, Kuhn Uk Lee, Seong Yeon Kim
Endocrinology and Metabolism 2005;20(5):496-501
DOI: https://doi.org/10.3803/jkes.2005.20.5.496
Published online: October 1, 2005
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1Department of Internal Medicine, Seoul National University College of Medicine, Korea.
2Department of Surgery, Seoul National University College of Medicine, Korea.
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Herein, a case of a solitary primary paraganglioma arising in the mesentery, found in a hypertensive 70-year-old woman, who presented with nausea and postprandial abdominal discomfort, is reported. Ultrasonography and computed tomography showed a hypervascular mass abutting the second portion of the duodenum. An exploratory laparotomy revealed a 5.5 x 5.3 x 5cm sized mass in the mesentery of the transverse colon, which was histologically proven to be a paraganglioma. No intraoperative hemodynamic changes developed, and the postoperative course was uneventful. To our knowledge, this is the first case of a paraganglioma arising in the mesentery reported in Korea. Considering the unusual locations and the associated operative risk, it is necessary to rule out the possibility of a functioning paraganglioma in the preoperative differential diagnosis of an abdominal mass.

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