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Malaysian Journal of Medical Sciences
School of Medical Sciences, Universiti Sains Malaysia
ISSN: 1394-195X
Vol. 18, No. 2, 2011, pp. 70-73
Bioline Code: mj11025
Full paper language: English
Document type: Case Report
Document available free of charge

Malaysian Journal of Medical Sciences, Vol. 18, No. 2, 2011, pp. 70-73

 en The Value of Pre-Operative Embolisation in Primary Inferior Vena Cava Paraganglioma
Zaki, Faizah Mohd; Osman, Syazarina Sharis; Manaf, Zaleha Abdul; Mahadevan, Jeyaledchumy & Yahya, Mazri

Abstract

We report a case of a 13-year-old boy who complained of progressive abdominal distension and symptoms of anaemia. Radiological investigations revealed that the child had a hypervascular tumour of the inferior vena cava (IVC). Unfortunately, the child presented with acute lower gastrointestinal bleed soon after the investigation. He underwent an urgent pre-operative embolisation, aimed to reduce the tumour vascularity. A total resection of the tumour, right nephrectomy, and partial duodenal resection were done within 24 hours post-embolisation. The child was stable post-operatively. The histopathological examination revealed chromogranin-positive paraganglioma originating from the IVC. We highlight the radiological findings of rare primary IVC paraganglioma and the role of embolisation prior to surgical removal of the tumour.

Keywords
children, inferior vena cava, paraganglioma, radiology, therapeutic embolisation

 
© Copyright 2011 - Malaysian Journal of Medical Science
Alternative site location: http://www.medic.usm.my/publication/mjms/

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