Case Report
 
Adrenal ganglioneuroma: A rare case presentation
P. N. Tungenwar1, A. H. Bhandarwar1, Saurabh Gandhi1, Rachana Binayke1, Samarth Agarwal1, Ajay Pai1
1Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Byculla, Mumbai – 400008.

Article ID: Z01201608CR10679PT
doi:10.5348/ijcri-201691-CR-10679

Address correspondence to:
Dr. Samarth Agarwal
Room – 637, 300 Resident Quarters
JJ Hospital Campus, Byculla, Mumbai – 400008
Maharashtra
India

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How to cite this article
Tungenwar PN, Bhandarwar AH, Gandhi S, Binayke R, Agarwal S, Pai A. Adrenal ganglioneuroma: A rare case presentation. Int J Case Rep Images 2016;7(8):519–523.


Abstract
Introduction: Ganglioneuromas are benign, well differentiated tumors arising from the sympathetic nervous system. However, they arise rarely in the adrenal glands. Ganglioneuroma (GN) is a very rare (0–6% of incidentalomas) tumor that arises from sympathetic ganglion/chain and is made of mature ganglion cells, Schwann cells, neurites and nerve fibers. Most cases of adrenal ganglioneuromas are incidentally diagnosed since they are mostly asymptomatic and produce symptoms rarely due to compression of neighboring structures.
Case Report: We hereby present a rare case of an adult female patient presented with pain in abdomen diagnosed with a non-secretory adrenal mass who underwent laparoscopic excision of the mass. She was finally diagnosed on pathological examination to be an adrenal ganglioneuroma, one of the very rare tumors reported in literature.
Conclusion: Adrenal ganglioneuromas occur rarely and difficult in diagnosing preoperatively since symptoms vary and are mostly nonspecific. Ganglioneuroma should not be missed as a differential diagnosis of an adrenal mass. Histopathologic examination plays a crucial role in diagnosis.

Keywords: Ganglioneuroma, Adrenal, Adult, Laparoscopic excision


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Author Contributions
P. N. Tungenwar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
A. H. Bhandarwar – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Saurabh Gandhi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Rachana Binayke – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Samarth Agarwal – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ajay Pai – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 P. N. Tungenwar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Ajay H. Bhandarwar is Professor at Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai India. His area of interest are Upper gastrointestinal, diaphragmatic and metabolic surgeries. His research interests include hiatus hernia repairs and its lifestyle consequences. He has published several papers in International and National Journals.



Pravin N. Tundenwar is Associate Professor at Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai India. His area of interest are solid organs & Hernia repair surgery. His research interests include metabolic surgeries with keen interest in newer trends.



Saurabh S. Gandhi is Assistant Professor at Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai India. His area of interest are gastrointestinal and metabolic repair surgery. His research interests include endoscopic thyroid, hernia surgery with keen interest in newer trends.



Rachana Binayke is Assistant Professor At Department of Pathology, Grant Government Medical College And Sir Jj Group Of Hospitals, Mumbai. She earned (M.B.B.S) undergraduate degree from Mumbai University and Postgraduate (MD) Pathology Degree From Seth G.S.Medical College And K.E.M Hospital, Mumbai. Her research interests include neuropathology, pulmonary pathology and immunopathology and intend to pursue fellowships in neuropathology, immunopathology and oncopathology.



Samarth Agarwal is Lecturer in Surgery at Department of General Surgery, Grant Govt Medical College, Mumbai, India. He earned undergraduate degree (MBBS) from TN Medical College, Mumbai,India and postgraduate degree (M.S. General Surgery) from Grant Governement Medical College, Mumbai, India. He has published 10 research papers in National and International Academic journals. His research interests include minimally invasive laparoscopic, urological and bariartric surgeries. He intends to pursue MCH urology in future.



Ajay Pai is Lecturer at Department of General Surgery, Grant Government Medical College & Sir JJ Group of Hospitals, Mumbai India. His area of interest are upper gastrointestinal and metabolic repair surgery. His research interests include endoscopic thyroid, hernia surgery with keen interest in newer trends. He wants to pursue mch gastrointestinal surgery in future.