case_images: PMC6057417_01
case_images: A contrast abdominal CT scan showing a 7.0 x 5.0 cm heterogeneous mass (black asterisk) located between the abdominal aorta (Ao) and the inferior vena cava, pushing the head of the pancreas (p).
case_images: CRICC2018-4058046.001.jpg
case_images: PMC6057417_01_CRICC2018-4058046.001.jpg
case_images: fig1
case_images: An abdominal computed tomography (CT) scan revealed no adrenal abnormalities but a 7.0 x 5.0 cm tissular-like retroperitoneal mass in contact with the abdominal aorta and the inferior vena cava, intimately related and displacing anteriorly the head of the pancreas (Figure 1).
case_images: Angiography showing several feeding arteries arising from the right renal artery (a) and the 3rd right lumbar artery (L3) (b). Successful embolization of several arterial arteries: e.g., the 3rd right lumbar artery (c).
case_images: CRICC2018-4058046.002.jpg
case_images: PMC6057417_01_CRICC2018-4058046.002.jpg
case_images: fig2
case_images: It consisted of coiling of four major feeding vessels, 2 arising from the right renal artery and 2 more from the lumbar arteries (L2 and L3), using hydrogel with Polyzene -F coating microparticules (Figure 2).
case_images: Surgical site showing the presence of the paraganglioma with intimate contact with the abdominal aorta and the inferior vena cava after mobilization of the duodenum.
case_images: CRICC2018-4058046.003.jpg
case_images: PMC6057417_01_CRICC2018-4058046.003.jpg
case_images: fig3
case_images: Perioperative exploration found a retroperitoneal soft encapsulated tumor measuring 7.0 cm in diameter, in intimate contact with the abdominal aorta, the right renal vein, and the inferior vena cava (Figure 3).
case_images: Cut gross specimen showing a tan colored mass.
case_images: CRICC2018-4058046.004.jpg
case_images: PMC6057417_01_CRICC2018-4058046.004.jpg
case_images: fig4
case_images: A complete resection of the tumor was performed and no adjacent organs were removed or injured during the surgery (Figure 4).