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- W2074703088 abstract "Nous rapportons une observation de paragangliome rétropéritonéal chez un homme de 43 ans hospitalisé pour douleurs abdominales. Le scanner abdominopelvien montrait une masse rétropéritonéale. Lors de la fibroscopie œsogastroduodénale avec biopsies, le patient présentait une poussée d’hypertension sévère associée à des troubles du rythme cardiaque permettant d’évoquer le diagnostic de phéochromocytome extrasurrénalien confirmé par le dosage des métanéphrines urinaires. Il existait une cardiomyopathie aiguë associée mise en évidence à l’échocardiographie et réversible en postopératoire. Cette observation permet de rappeler l’importance de la préparation anesthésique entourant le geste chirurgical et la nécessité d’une surveillance au long cours en l’absence de critères histologiques formels de bénignité. Paragangliomas are rare tumors arising from extraadrenal chromaffin cells. We report a 43-year-old man who presented with abdominal pain. An abdominal computed tomography scan revealed a large retroperitoneal mass. During an endoscopic biopsy of this tumor, the patient experienced marked hemodynamic fluctuations with tachycardia and high blood pressure, and an extraadrenal pheochromocytoma was suspected. Measurements of plasma and urinary catecholamines and urinary total metanephrines ruled in the diagnosis. Echocardiography disclosed acute myocardial dysfunction that returned to normal after surgical resection of the paraganglioma. This report also underlines the importance of the anesthetic preparation and monitoring around the surgical procedure and the need of a long-term follow-up to detect malignant paraganglioma in the absence of histological criteria of benign tumor." @default.
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- W2074703088 date "2011-05-01" @default.
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- W2074703088 title "Prise en charge d’un paragangliome rétropéritonéal" @default.
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- W2074703088 doi "https://doi.org/10.1016/j.revmed.2010.06.005" @default.
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