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...
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Format: | Article |
Language: | English |
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Wiley
2011-01-01
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Series: | Case Reports in Pediatrics |
Online Access: | http://dx.doi.org/10.1155/2011/748543 |
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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 |
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