A CASE PARAGANGLIOMA WITH INTRAABDOMINAL BLEEDING

Paraganglioma is a relatively rate tumor. There has been no case of paraganglioma presented with intraabdominal bleeding so far. In this paper, a case of giant paraganglioma with intraabdominal bleeding is reported. A 48-year-old woman was transferred to the hospital because of intraabdominal bleeding and hemorrhagic shock. Abdominal ultrasonography and CT scan revealed intraabdominal bleeding and a huge tumor in the right subhepatic space. Angiography visualized a hypervascular tumor but no active bleeding was seen. With a suspicion of angiosarcoma, an operation was performed, when inveterate hemorrhage and clots were demonstrated in the abdomen. The tumor was a 14×10×8cm retroperitoneal tumor. It adhered to the right subhepatic space and a rupture of the liver in the vicinity of the adhesion was noted where was thought to be the bleeding site. Histopathologically it was paraganglioma.