Renal Hilar Paraganglioma - A Case Report

Objective Paragangliomas are a type of neuroendocrine tumors derived from embryonal neural crest. When found in the adrenal gland they are called pheocromocytoma, when localized in the extraadrenal paraganglia they are called paraganglioma. Paragangliomas localized in the renal hilus are a rare entity. Methods We are presenting a 30years old women suffering from paroxysmal hypertension for more than a year and diagnosed with secretory paraganglioma. Ultrasound abdominal exam and CT scan confirmed a left renal hilar tumor. Urinary metanephrines and normetanephrines resulted elevated. Results Laparotomy was performed and the removed mass was sent for histopathological exam. A paraganglioma was diagnosed. The operation resulted safe and effective. Now 5 years after operation the patient is healthy. Conclusions Paragangliomas must be considered as a possible cause of hypertension in young people.