Giant hepatic paraganglioma succesfuly treated with embolisation

Extra-adrenal pheochromocytoma may occur at any location where paraganglionic tissue is present and primary hepatic paraganglioma is a very rare entity (1). Internal cyst formation is frequently seen in large para- gangliomas with intramural hemorrhage and it can mimic cystic diseases of the liver. A 71 year old man admitted to our clinic with the complaint of dull pain on right upper quadrant for 3 months. In his past medical history he had diabetes and hypertension for 20 years, which were under control with fosinopril sodium and gliclaside. Four years before admission, a cystic lesion observed on ultrasonography was diagnosed as hydatid disease. Physical examination revealed hepatomegaly and an epigastric mass. On labo- ratory analysis, counter blood count, sedimentation rate, INR was normal, but creatinin was 1.3 mg/dl, AST 67 IU/ml, ALT 64 IU/ml, albumin 3.6 g/dl, total bilirubin was 2 mg/dl.