XXXX presenting with @entity3043 : A rare case with rare manifestation.

@entity1 @entity1148 @entity101 @entity353 @entity1353 @entity5 @entity417 @entity2905 @entity1423 @entity3506 @entity425 @entity1398 @entity1277 @entity490 @entity1823 @entity3043
INTRODUCTION: @entity1823 are @entity5 that arise from extraadrenal chromaffin cells and most of them are asymptomatic presenting with painless mass. @entity1823 are mostly benign with good prognosis; however, they can present with @entity490 , palpable mass, or @entity101 episodes. Surgical resection is still the main treatment and necessary for histological assessment. CASE REPORT: A 41 year old female @entity1 presented with 6 months of @entity1277 , @entity353 , @entity425 and @entity1353 on exertion.. The @entity1 's initial blood examination showed marked @entity417 , reduced leukocyte count with @entity1398 and @entity2905 and a marked @entity1423 . The @entity1 was admitted for evaluation of her @entity3043 . Magnetic resonance imaging revealed a 8*7*8cm sized mass closed to the pancreatic tail invading splenic hilum. A large mass was identified retroperitoneally, closed to the tail of pancreas with a splenic hilum invasion. Total mass resection and splenectomy was performed. DISCUSSION: Complete surgical excision is the treatment of @entity3506 as well as for recurrent or metastatic @entity5 . @entity1148 is a common cause of @entity1148 . Splenectomy was found to be one of the main causes of extreme reactive @entity1148 . @entity1148 is a predictable finding after splenectomy and management of the @entity1148 and prevention of complications should be initiated.
