관상동정맥루를 동반한 Zuckerkandl 기관의 부신경절종
Functioning Paraganglioma Manifested Cerebral Hemorrhage and Combined with Coronary Arterio-Venous Fistula
김원연, 강구정, 임태진,
소속 상세정보
김원연 ( Kim Won-Youn )
계명대학교 의과대학 외과학교실
강구정 ( Kang Koo-Jeong )
계명대학교 의과대학 외과학교실
임태진 ( Lim Tae-Jin )
계명대학교 의과대학 외과학교실
KMID : 0371320020630060517
Abstract
Extra-adrenal pheochromocytomas, also called functioning paragangliomas are uncommon retroperitoneal tumor, manifesting with similar symptoms and signs to adrenal pheochromocytoma. In this report, we present a case of a 46-year-old women who had
paroxysmal hypertension and palpitation for four years. An abdominal mass, the size of an adult fist, was noted, with symptom of a cerebral hemorrhage and cardiac ischemia caused by a coronary arterio-venous fistula. The cerebral hemorrhage symptoms
were improved spontaneously. The abdominal mass determined to be a functioning paraganglioma by complete resection. The coronary arterio-venous fistula was surgically corrected a month after resection of the tumor. The patient was freed from the
symptoms and signs of a pheochromocytoma, including palpitations and hypertension. There has been no recurrence for a year and half following the removal of the mass.
키워드
부신경절종; 관상동정맥루; Paraganglioma; Coronary arterio-venous fistula;
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