• Pain

  This clinical case emphasizes the importance of the high index of diagnostic suspicion in the management and treatment of the rare causes of abdominal pain, often with the possibility of a minimally invasive approach. [websurg.com]

• Aspiration

  A fine needle aspiration (FNA) biopsy was performed, which was suggestive of a paraganglioma. Medical treatment with Doxazosine 24mg bid was needed for the adequate control of hypertension, and surgical excision was required. [websurg.com]

• Abdominal Pain

  This clinical case emphasizes the importance of the high index of diagnostic suspicion in the management and treatment of the rare causes of abdominal pain, often with the possibility of a minimally invasive approach. [websurg.com]

The diagnostic workup revealed raised urinary metanephrines. A CT-scan confirmed the US findings, and the nodule was also positive at PET CT-scan. A fine needle biopsy was performed, which was suggestive of a paraganglioma. [websurg.com]

Medical treatment with Doxazosine 44mg qd was required for the adequate control of hypertension, and surgical excision was required. [websurg.com]

For the last part of the procedure, we emphasize the importance of closure of mesenteric defects with non-absorbable sutures, including both the retrocolic space and Petersen’s defect to prevent future internal herniations. [websurg.com]