摘要
Abstract
Objective To summarize clinical features and diagnostic key points of retroperitoneal paraganglioma in order to discuss misdiagnosed causes and preventive measures.Methods Clinical data of a patient with retroperitoneal paraganglioma, who was misdiagnosed as having periadrenal abscess, was retrospectively analyzed.Results The patient was admitted for repeated chest pain for 10 d, cough, expectoration for 3d and recurrence of chest pain for 6h.After admission, myocardial enzymes, liver and kidney function, abdominal enhanced CT and endocrine function examinations were performed, and the right periadrenal abscess was diagnosed, and then surgical incision and drainage were given.Severe fluctuation of blood pressure during intraoperative period was found, and adrenal tumor was suspected by intraoperative frozen section diagnosis, and then tumor exsection of right adrenal gland was performed.Retroperitoneal paraganglioma was diagnosed by postoperative pathological examination.In postoperative 2 weeks, result of endocrine function test was normal, and PET-CT test showed no metastases.With 1 year of follow-up, no recurrence was found by regular abdominal ultrasound examination.Conclusion The retroperitoneal paraganglioma is a rare neuroendocrine tumor, and it is easily misdiagnosed before operation.Patients with obvious fluctuation of blood pressure during surgical exploration should be suspected as having paraganglioma, and clinicians should given frozen section in time to confirm the diagnosis.关键词
副神经节瘤/腹膜后肿瘤/误诊/脓肿Key words
Paraganglioma/Retroperitoneal tumor/Misdiagnosis/Abscess分类
医药卫生
