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Left subdiaphragmatic paraganglioma supplied by contralateral right renal artery  Jaime D. Martinez, Benjamin Zendejas, Juan Pablo Sánchez Luna, Joseph.

Published byAudra Boone Modified over 6 years ago

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Presentation on theme: "Left subdiaphragmatic paraganglioma supplied by contralateral right renal artery  Jaime D. Martinez, Benjamin Zendejas, Juan Pablo Sánchez Luna, Joseph."— Presentation transcript:

1 Left subdiaphragmatic paraganglioma supplied by contralateral right renal artery 
Jaime D. Martinez, Benjamin Zendejas, Juan Pablo Sánchez Luna, Joseph Lopez, Sergio Sánchez Luna, Federico Mendoza-Sánchez, David R. Farley  International Journal of Surgery Case Reports  Volume 3, Issue 7, Pages (January 2012) DOI: /j.ijscr Copyright © 2012 Surgical Associates Ltd Terms and Conditions

2 Fig. 1 Thoraco-abdominal computed tomography. Panels A and B=Axial and lateral computed tomography scan image with intravenous contrast showing the tumor (T) adjacent to the liver (L) and abdominal wall. Panel C=Three dimensional reconstructed image showing tumor (T) in contiguity to the upper third segment of the left hepatic lobe. Panel D=Coronal computed tomography scan image showing the tumor (T) adjacent to left ventricle (LV). International Journal of Surgery Case Reports 2012 3, DOI: ( /j.ijscr ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

3 Fig. 2 Abdominal arteriography. Aorta (Ao), right renal artery (RRA), feeding artery off the right renal artery bifurcation (Arrows), left renal artery (LRA), common hepatic artery (CHA). International Journal of Surgery Case Reports 2012 3, DOI: ( /j.ijscr ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

4 Fig. 3 Intraoperative view. Tumor (T) is seen between diaphragma (DH) and liver (L). Abdominal wall (AW). International Journal of Surgery Case Reports 2012 3, DOI: ( /j.ijscr ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

5 Fig. 4 Macroscopic pathology. Tumor described as irregular shape, soft, brown and measured at 5.42cm×4.2cm×3.2cm. International Journal of Surgery Case Reports 2012 3, DOI: ( /j.ijscr ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

6 Fig. 5 Microscopic pathology. Panel A=High powered field showing compact nest of polygonal cells, with highly vascular stroma. Cells with ovoid nuclei, granular chromatin, small eosinophilic nucleoli with mild reactive atypia, and a broad cytoplasm. Panel B=Low powered field showing extra-adrenal paraganglioma surrounded by capsule of dense fibroconnective tissue in continuity with striated muscle fibers. International Journal of Surgery Case Reports 2012 3, DOI: ( /j.ijscr ) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

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