{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:07:59Z","timestamp":1790006879235,"version":"4.0.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":21,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Paragangliomas are extra adrenal tumors composed of chromaffin cells that can secrete catecholamines. Retroperitoneal paragangliomas are a rare entity that develop anywhere along the midline of the retroperitoneum. Surgical resection is the mainstay of treatment. However, resection of para-aortic retroperitoneal paraganglioma is extremely challenging due to their close association with major abdominal vessels. We encountered a challenging case, where the tumor was closely adherent to inferior vena cava and portal vein, and the initial attempt for tumor resection was aborted due to hypertensive crisis. Additionally, treatment with radiation wasn\u2019t effective in shrinking the tumor, raising the question of radio sensitivity of these tumors.<\/jats:p>","DOI":"10.1093\/jscr\/rjag846","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T12:03:20Z","timestamp":1789473800000},"source":"Crossref","is-referenced-by-count":0,"title":["Challenges in peri-aortic paraganglioma management"],"prefix":"10.1093","volume":"2026","author":[{"given":"Natesh","family":"Yepuri","sequence":"first","affiliation":[{"name":"Department of Anesthesia, MercyOne Medical Center , 3421 W. 9th St., Waterloo, IA 50702 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swaroopa R","family":"Nalamalapu","sequence":"additional","affiliation":[{"name":"Department of Pulmonology and Critical Care, UnityPoint Medical Center , 1825 Logan Avenue, Waterloo, IA 50703 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja","family":"Godasi","sequence":"additional","affiliation":[{"name":"Department of Neurology, St. Luke\u2019s Boise Medical Center , 190 E Bannock St., Boise, ID 83712 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep","family":"Chevula","sequence":"additional","affiliation":[{"name":"Department of Neurology, SUNY Upstate Medical University , 750 E Adams St., Syracuse, NY 13210 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"2026092111360471400_ref1","doi-asserted-by":"publisher","first-page":"280","DOI":"10.3390\/jcm7090280","article-title":"The diagnosis and clinical significance of paragangliomas in unusual locations","volume":"7","author":"Asa","year":"2018","journal-title":"J Clin Med"},{"key":"2026092111360471400_ref2","doi-asserted-by":"publisher","first-page":"E59","DOI":"10.1111\/ans.15223","article-title":"Rare case of a dopamine-secreting para-aortic paraganglioma","volume":"90","author":"Best","year":"2019","journal-title":"ANZ J Surg"},{"key":"2026092111360471400_ref3","doi-asserted-by":"publisher","first-page":"993","DOI":"10.1016\/S0030-6665(05)70359-5","article-title":"Paraganglioma surgery: complications and treatment","volume":"34","author":"Sniezek","year":"2001","journal-title":"Otolaryngol Clin North Am"},{"key":"2026092111360471400_ref4","doi-asserted-by":"publisher","first-page":"492","DOI":"10.2214\/AJR.05.0370","article-title":"Extraadrenal paragangliomas of the body: imaging features","volume":"187","author":"Lee","year":"2006","journal-title":"AJR Am J Roentgenol"},{"key":"2026092111360471400_ref5","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1007\/s00464-012-2451-9","article-title":"Outcomes of resection of extra-adrenal pheochromocytomas\/paragangliomas in the laparoscopic era: a comparison with adrenal pheochromocytoma","volume":"27","author":"Goers","year":"2013","journal-title":"Surg Endosc"},{"key":"2026092111360471400_ref6","doi-asserted-by":"publisher","first-page":"1542","DOI":"10.3892\/etm.2015.2289","article-title":"Anesthetic management for resection of para-aortic paraganglioma and unexpected aortic resection: a case report","volume":"9","author":"Wang","year":"2015","journal-title":"Exp Ther Med"},{"key":"2026092111360471400_ref7","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/S1015-9584(09)60133-0","article-title":"Malignant paraganglioma of the retroperitoneum with lung metastases: a 13-year survivor after radical surgery","volume":"30","author":"Matsui","year":"2007","journal-title":"Asian J Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag846\/71288989\/rjag846.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/9\/rjag846\/71288989\/rjag846.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T15:36:06Z","timestamp":1790004966000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag846\/8825000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":7,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,8,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag846","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,9]]},"published":{"date-parts":[[2026,8,31]]},"article-number":"rjag846"}}