Table of Contents
ISRN Surgery
Volume 2011, Article ID 268674, 3 pages
http://dx.doi.org/10.5402/2011/268674
Case Report

Emergency Pancreaticoduodenectomy in Duodenal Paraganglioma: Case Report

1Department of General Surgery, SKIMS, Srinagar, Kashmir 190011, India
2Department of Pathology, SKIMS, Srinagar, Kashmir 190011, India
3Department of Gastroenterology, SKIMS, Srinagar, Kashmir 190011, India

Received 22 February 2011; Accepted 28 March 2011

Academic Editor: M. Memon

Copyright © 2011 Fazl Q. Parray et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Duodenal gangliocytic paraganglioma (DGP) is a rare tumor that characteristically occurs in the second part of duodenum. These appear as submucosal masses that protrude into the lumen of a duodenum. Gastrointestinal bleeding is the commonest manifestation of DGP. Metastatic spread to regional lymph nodes occurs rarely. Surgical resection is the treatment of choice for DGP. A case of a DGP is reported in young female who presented with a recurrent upper gastrointestinal bleeding. Upper gastrointestinal endoscopy (UGIE) documented a mass in the ampullary region with ulceration in its middle which was bleeding. Recurrent gastrointestinal bleeding necessitated an emergency pancreaticoduodenectomy. Histopathology of specimen documented gangliocytic paraganglioma.