An Unusual Case of Gastrointestinal Bleeding

A 10-year-old boy presented with a 3-day history of worsening abdominal pain, fever, emesis and melena. Abdominal ultrasound revealed a right upper quadrant mass that was confirmed by computed tomography angiogram (CTA), which showed an 8 cm well-defined retroperitoneal vascular mass. 123Iodine meta...

Full description

Saved in:
Bibliographic Details
Main Authors: Kristin N. Fiorino, Brian Lestini, Kim E. Nichols, Sudha A. Anupindi, Asim Maqbool
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2011/748543
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832549794564800512
author Kristin N. Fiorino
Brian Lestini
Kim E. Nichols
Sudha A. Anupindi
Asim Maqbool
author_facet Kristin N. Fiorino
Brian Lestini
Kim E. Nichols
Sudha A. Anupindi
Asim Maqbool
author_sort Kristin N. Fiorino
collection DOAJ
description A 10-year-old boy presented with a 3-day history of worsening abdominal pain, fever, emesis and melena. Abdominal ultrasound revealed a right upper quadrant mass that was confirmed by computed tomography angiogram (CTA), which showed an 8 cm well-defined retroperitoneal vascular mass. 123Iodine metaiodobenzylguanidine (123MIBG) scan indicated uptake only in the abdominal mass. Subsequent biopsy revealed a paraganglioma that was treated with chemotherapy. This case represents an unusual presentation of a paraganglioma associated with gastrointestinal (GI) bleeding and highlights the utility of CTA and 123MIBG in evaluation and treatment.
format Article
id doaj-art-5998709aa1334c9f987a8e8d829fb8c0
institution Kabale University
issn 2090-6803
2090-6811
language English
publishDate 2011-01-01
publisher Wiley
record_format Article
series Case Reports in Pediatrics
spelling doaj-art-5998709aa1334c9f987a8e8d829fb8c02025-02-03T06:08:31ZengWileyCase Reports in Pediatrics2090-68032090-68112011-01-01201110.1155/2011/748543748543An Unusual Case of Gastrointestinal BleedingKristin N. Fiorino0Brian Lestini1Kim E. Nichols2Sudha A. Anupindi3Asim Maqbool4Division of Gastroenterology, Hepatology and Nutrition, The Children's Hospital of Philadelphia, Perelman, School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USADivision of Oncology, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USADivision of Oncology, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USADivision of Radiology, The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USADivision of Gastroenterology, Hepatology and Nutrition, The Children's Hospital of Philadelphia, Perelman, School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USAA 10-year-old boy presented with a 3-day history of worsening abdominal pain, fever, emesis and melena. Abdominal ultrasound revealed a right upper quadrant mass that was confirmed by computed tomography angiogram (CTA), which showed an 8 cm well-defined retroperitoneal vascular mass. 123Iodine metaiodobenzylguanidine (123MIBG) scan indicated uptake only in the abdominal mass. Subsequent biopsy revealed a paraganglioma that was treated with chemotherapy. This case represents an unusual presentation of a paraganglioma associated with gastrointestinal (GI) bleeding and highlights the utility of CTA and 123MIBG in evaluation and treatment.http://dx.doi.org/10.1155/2011/748543
spellingShingle Kristin N. Fiorino
Brian Lestini
Kim E. Nichols
Sudha A. Anupindi
Asim Maqbool
An Unusual Case of Gastrointestinal Bleeding
Case Reports in Pediatrics
title An Unusual Case of Gastrointestinal Bleeding
title_full An Unusual Case of Gastrointestinal Bleeding
title_fullStr An Unusual Case of Gastrointestinal Bleeding
title_full_unstemmed An Unusual Case of Gastrointestinal Bleeding
title_short An Unusual Case of Gastrointestinal Bleeding
title_sort unusual case of gastrointestinal bleeding
url http://dx.doi.org/10.1155/2011/748543
work_keys_str_mv AT kristinnfiorino anunusualcaseofgastrointestinalbleeding
AT brianlestini anunusualcaseofgastrointestinalbleeding
AT kimenichols anunusualcaseofgastrointestinalbleeding
AT sudhaaanupindi anunusualcaseofgastrointestinalbleeding
AT asimmaqbool anunusualcaseofgastrointestinalbleeding
AT kristinnfiorino unusualcaseofgastrointestinalbleeding
AT brianlestini unusualcaseofgastrointestinalbleeding
AT kimenichols unusualcaseofgastrointestinalbleeding
AT sudhaaanupindi unusualcaseofgastrointestinalbleeding
AT asimmaqbool unusualcaseofgastrointestinalbleeding