{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T11:59:13Z","timestamp":1781092753679,"version":"3.54.1"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T00:00:00Z","timestamp":1600646400000},"content-version":"vor","delay-in-days":264,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"Abstract<\/jats:title>\n \n Introduction<\/jats:title>\n Gangliocytic paraganglioma is a rare tumors mainly arises from the second part of the duodenum. The tumor is generally benign, but some cases are associated with lymph node or distant metastasis. It must be differentiated from other tumors. The main treatment is good local surgical resection. Most patients have good prognosis after an appropriate resection.<\/jats:p>\n <\/jats:sec>\n \n Case presentation<\/jats:title>\n A 47-year-old male patient presented with recurrent attacks of epigastric pain and melena. The general examination revealed pallor with no jaundice. The abdomen was soft with no tenderness. There were no stigmata of chronic liver diseases. The hemoglobin level was 8 gm\/dl with normal liver and renal functions. The patients received compatible blood. Endoscopy showed a large pedunculated polyp with ulceration in the second part of the duodenum just distal to ampulla of Vater. During surgery, the anterior wall of duodenum was opened, and a 4 cm pedunculated polyp was excised which was arising from the posterior wall of the duodenum just distal to the ampulla of Vater. The frozen section examination revealed a benign lesion. The final histopathology result was consistent with the diagnosis of gangliocytic paraganglioma. The patient had smooth post-operative recovery and no postoperative complications.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Gangliocytic paraganglioma is a rare tumor which mostly affects the second part of the duodenum. The tumor is considered benign but the possibility of the malignancy with lymphatic and distant metastases must be excluded before any surgery. The management plan must be addressed carefully and continuous follow up is recommended.<\/jats:p>\n <\/jats:sec>\n \n Highlights<\/jats:title>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.09.129","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T12:32:42Z","timestamp":1600864362000},"page":"408-412","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Duodenal gangliocytic paraganglioma"],"prefix":"10.1097","volume":"75","author":[{"given":"Sardar Hassan","family":"Arif","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayad Ahmad","family":"Mohammed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafil T.","family":"Yaqo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-92-20260114","first-page":"9752","article-title":"Duodenal gangliocytic paraganglioma: report of two cases and review of literature","volume":"8","author":"Wang","year":"2015","journal-title":"Int. J. Clin. Exp. Pathol"},{"key":"R2-92-20260114","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s00535-003-1289-2","article-title":"Duodenal gangliocytic paraganglioma treated with endoscopic hemostasis and resection","volume":"39","author":"Nagai","year":"2004","journal-title":"J. Gastroenterol"},{"key":"R3-92-20260114","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1186\/1477-7819-3-15","article-title":"Locally advanced duodenal gangliocytic paraganglioma treated with adjuvant radiation therapy: case report and review of the literature","volume":"3","author":"Wong","year":"2005","journal-title":"World J. Surg. Oncol"},{"key":"R4-92-20260114","doi-asserted-by":"crossref","first-page":"94","DOI":"10.5858\/arpa.2014-0456-RS","article-title":"Duodenal gangliocytic paraganglioma with lymph node metastasis","volume":"140","author":"Park","year":"2016","journal-title":"Arch. Pathol. Lab. Med"},{"key":"R5-92-20260114","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/1477-7819-8-42","article-title":"A case of gangliocytic paraganglioma in the ampulla of Vater","volume":"8","author":"Kwon","year":"2010","journal-title":"World J. Surg. Oncol"},{"key":"R6-92-20260114","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.ijscr.2019.09.045","article-title":"Enormous gastrointestinal stromal tumor arising from the stomach causing weight loss and anemia in an elderly female: case report","volume":"64","author":"Mohammed","year":"2019","journal-title":"Int. J. Surg. Case Rep"},{"key":"R7-92-20260114","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.ijscr.2019.10.045","article-title":"Fibrous tumor of the stomach causing abdominal pain and melena: case report with review of literature","volume":"65","author":"Aldohuky","year":"2019","journal-title":"Int. J. Surg. Case Rep"},{"key":"R8-92-20260114","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.ijscr.2019.10.016","article-title":"Epithelioid hemangioendothelioma of the pancreas presented as massive hematemesis","volume":"64","author":"Arif","year":"2019","journal-title":"Int. J. Surg. Case Rep"},{"key":"R9-92-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R10-92-20260114","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/1746-1596-5-27","article-title":"Duodenal gangliocytic paraganglioma showing lymph node metastasis: a rare case report","volume":"5","author":"Okubo","year":"2010","journal-title":"Diagn. Pathol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220308026?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220308026?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.09.129","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:50:42Z","timestamp":1768398642000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.09.129"}},"subtitle":["A very rare cause for upper gastrointestinal bleeding Case report with review of literature"],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.09.129","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}