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- W2029041806 abstract "This section features outstanding photographs of clinical materials selected for their educational value or message, or possibly their rarity. The images are accompanied by brief case reports (limit 2 typed pages, 4 references). Our readers are invited to sumit items for consideration. A 48-year-old man with a family history of pheochromocytoma presented with a history of right lower quadrant pain and hypertension. An abdominal computed tomography (CT) scan (Fig 1, A) revealed a mass at the level of the aortic bifurcation. Analysis of a 24-h urine collection revealed a vanillylmandelic acid (VMA) level of 231 mg/24 h (nL < 8 mg), total normetanephrine of 4846 mcg/24 h (nL < 451 mcg), and total metanephrine 4972 mcg/24 h (nL < 616 mcg). An iodine-123-meta-iodobenzylguanidine (MIBG) scan (Fig 1, B) revealed mild symmetric focal radiotracer uptake of 123I-MIBG in the expected location of the adrenals and abnormal radiotracer uptake in the region of the mass identified by CT. Magnetic resonance angiography (MRA) (Fig 2) demonstrated a 6.4 × 5.2-cm dominant mass at the aortic bifurcation, compressing the distal aorta and left common iliac vein; a smaller 1.6-cm mass located cephalad to the dominant mass overlying the aorta; and no evidence of vascular invasion or thrombosis. Fig 2Three-dimensional MRA image in the oblique sagittal projection demonstrates a 5.2 × 6.4 cm dominant mass (large arrow) located at the level of the aortic bifurcation and a 1.6-cm mass cephalad to the dominant mass (small arrow) located between the aortic bifurcation (AoB) and the superior mesenteric artery (SMA). View Large Image Figure Viewer Download Hi-res image" @default.
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- W2029041806 date "2008-06-01" @default.
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- W2029041806 title "Extra-adrenal pheochromocytoma involving the organ of Zuckerkandl" @default.
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- W2029041806 doi "https://doi.org/10.1016/j.surg.2007.11.012" @default.
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