Abdominal paraganglioma in a patient with fever of unknown origin

Paragangliomas have a wide range of clinical presentations. A significant portion these tumors are discovered as abdominal masses on imaging or palpation in patients without typical symptoms catecholamine excess [1]. This case reports 28-year-old female who presented with fever unknown origin and was found to an mass CT imaging. biopsied prior complete evaluation confirmed be paraganglioma. We discuss the 28 year-old-female Endocrinology office after she diagnosed paraganglioma retroperitoneal biopsy. The patient had initially her primary care provider origin. She large non-contrast scan done for infectious work-up, which prompted referrals Medical Oncology Surgery. contrast-enhanced ordered assess metastatic disease re-demonstrated mass. It also provided further information, specifying that most suspicious Despite this, underwent biopsy this diagnosis prior. then referred biochemical testing showed mildly elevated normetanephrine urine blood analyses. Successful surgical excision completed preceding alpha-blockade. Genetic negative. diverse presentations, can make challenging. Fever origin, seen case, represents rare manifestation [2,3]. accuracy scans identifying paragangliomas has increased significantly over last decade [4]. Biopsy massesis associated morbidity. is important clinicians aware may present absence hypertension classic pheochromocytomas. hyper-secretion. If radiology report suggests high likelihood it critical delay potentially high-risk until completed. • Sympathetic presentation challenging diagnose because often Isolated initial paragangliomas. diagnostic contrast should characteristic features order avoid harmful