06 December 2019 : Case report
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Educational Purpose (only if useful for a systematic review or synthesis)Maram Hussein AlGhamdi1ABCDEFG*, Abdullah AlAyed1ABG, Nayef A. AlShabyli1ABG, Nour Hussain AlGhamdi1BEFG, Mohannad AlRasheed1ABCDFG
Am J Case Rep 2019; 20:1817-1820
BACKGROUND: Ganglioneuroma is a rare benign sympathetic chain neoplasm which rarely arise from the adrenal gland in adults and exceedingly rare for ganglioneuroma to arise from different origins in the same patient. We present a rare case of retroperitoneal ganglioneuroma concurring with an adrenal ganglioneuroma in an adult patient.
CASE REPORT: A 17-year-old healthy male underwent computed tomography (CT) scan after road traffic accident where he was found to have a left adrenal homogeneous hypovascular lesion with another retroperitoneal lesion seen within the right para-colic gutter with similar radiological features. Successful surgical resection was obtained, and histological diagnosis of both lesions was benign ganglioneuroma.
CONCLUSIONS: Adrenal and extra-adrenal ganglioneuroma can, although rare, concur together. Key findings are the similar radiological appearance of the lesions with typical hypovascular progressive pattern of enhancement. Appropriate pre-surgical diagnosis can aid to proper management since ganglioneuroma needs wide surgical resection due to its high chance of recurrence.
Keywords: Adrenal Glands, Ganglioneuroblastoma, Ganglioneuroma, Adolescent, Adrenal Gland Neoplasms, Male, Neoplasms, Multiple Primary, Retroperitoneal Neoplasms, Tomography, X-Ray Computed
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