The Value of Pre-Operative Embolisation in Primary Inferior Vena Cava Paraganglioma
- Author:
Faizah Mohd Zaki
;
Syazarina Sharis Osman
;
Zaleha Abdul Manaf
;
Jeyaledchumy Mahadevan
;
Mazri Yahya
- Publication Type:Case Reports
- Keywords:
children, inferior vena cava, paraganglioma, radiology, therapeutic embolisation
- From:Malaysian Journal of Medical Sciences
2011;18(2):70-73
- CountryMalaysia
- Language:English
-
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 postoperatively.
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.
- Full text:W020151022554266125813.pdf
