AI Article Synopsis
- A 43-year-old male presented with an enlarging pulsatile mass near his belly button, prompting further investigation.
- Imaging identified an 8-cm mass next to the left iliac artery, leading doctors to suspect a neuroendocrine tumor due to high blood pressure and catecholamine levels.
- Laparoscopic surgery successfully removed the mass, which was later found to be a tailgut cyst, emphasizing the effectiveness of laparoscopic techniques and the need for thorough differential diagnoses in surgical cases.
Article Abstract
We review the case of a 43-year-old white male who presented with an enlarging pulsatile mass in the periumbilical region. Diagnostic imaging revealed an 8-cm heterogeneous mass abutting the left iliac artery at the aortic bifurcation. Due to the patient's persistently elevated blood pressure and elevated serum and urine catecholamines, a neuroendocrine tumor was suspected. Laparoscopic resection was performed and was well tolerated. However, the mass was characterized as a tailgut cyst upon pathological examination. This case highlights the utility of laparoscopy for the removal of large para-aortic masses, which can be achieved in a safe fashion by an experienced surgeon. In addition, this case highlights the importance of differential diagnoses in surgeries due to the occurrence of unexpected outcomes.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246758 | PMC |
| http://dx.doi.org/10.7759/cureus.62391 | DOI Listing |
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