1. An Unusual Case of Gastrointestinal Bleeding
- Author
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Kristin N. Fiorino, Brian Lestini, Kim E. Nichols, Sudha A. Anupindi, and Asim Maqbool
- Subjects
Pediatrics ,RJ1-570 - Abstract
A 10-year-old boy presented with a 3-day history of worsening abdominal pain, fever, emesis and melena. Abdominal ultrasound revealed a right upper quadrant mass that was confirmed by computed tomography angiogram (CTA), which showed an 8 cm well-defined retroperitoneal vascular mass. 123Iodine metaiodobenzylguanidine (123MIBG) scan indicated uptake only in the abdominal mass. Subsequent biopsy revealed a paraganglioma that was treated with chemotherapy. This case represents an unusual presentation of a paraganglioma associated with gastrointestinal (GI) bleeding and highlights the utility of CTA and 123MIBG in evaluation and treatment.
- Published
- 2011
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