Intra-renal paraganglioma: An unusual location and presentation

Extra adrenal pheochromocytomas (Paragangliomas) are rare neuroendocrine tumors that may arise anywhere along the sympathetic and parasympathetic chain. Although these tumors are similar in origin to adrenal pheochromocytoma, the clinical manifestation, prognosis, and management differ. Surgical management of pheochromocytoma needs special perioperative requirements. Rarely patient may present with emergency symptoms may not allow to proceed evaluation, in these scenario clinician need to have high index of suspicion. We are presenting an atypical presentation of intra-renal location of paraganglioma which was diagnosed intraoperative period and could be managed without any complication.