Bilateral pelvic ganglioneuroma: clinico-pathological findings: a case report

Incidentally found retroperitoneal ganglioneuroma in an adult

The ganglioneuroma is a very rare tumor arising from sympathetic nerve system. An asymptomatic retroperitoneal ganglioneuroma was found incidentally in a 35-year-old woman. Ultrasonography, computed tomography, and magnetic resonance imaging showed a retroperitoneal mass extending to the left adrenal gland, and surrounding abdominal aorta, celiac axis, left renal and adrenal arteries, and veins. The tumor was resected and histologic examination showed ganglioneuroma.

A unique pathology associated with pelvic pain and adnexal mass

OBJECTIVE

To present a unique case of pelvic pain.

DESIGN

Case report.

SETTING

Academic institution.

PATIENT(S)

Thirty-nine year-old with history of endometriosis presented with pelvic pain and possible adnexal mass.

INTERVENTION(S)

Imaging results were not consistent and suggested possible adnexal mass and hydrosalpinx in different studies. Physical exam was concerning for a vaginal mass that was felt not to be contiguous with the adnexa. At laparoscopy, a 3 cm pararectal mass was identified immediately lateral to the uterosacral ligament and medial to the ureter. This mass was completely resected laparoscopically.

MAIN OUTCOME MEASURE(S)

Resolution of pelvic pain.

RESULT(S)

Pathologic diagnosis was ganglioneuroma. Postoperatively, the patient had resolution of her pelvic pain.

CONCLUSION(S)

Pelvic ganglioneuromas are a very rare entity but emphasize the importance of a broad differential for pelvic pain.