Background:
Paragangliomas are rare neuroendocrine tumors of extra adrenal origin. The symptomatic paragangliomas require multimodal treatment approach.
Case Presentation:
We report a case of 65-year-old female who presented with complains of unexplained weight loss. Imaging revealed a 3*4 cm retroperitoneal mass between the duodenum and Inferior vena cava.Her urinary catecholamines were elevated. The patient was diagnosed as a case of extra-adrenal paraganglioma, which was confirmed with DOTANOC PET scan. The patient was started on medical management for hypertension and was managed safely with robot-assisted surgery, owing to enhanced visualization of feeding vessels and avoidance of excessive manipulation of tumor.
Conclusions:
Our case report emphasizes on the robot assisted surgical technique for the removal of tumor in a vulnerable anatomical position and presents a review of the literature.
