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Appendiceal Ganglioneuromas and Pheochromocytoma in Neurofibromatosis Type I

Mark E. Lockhart1, J. Kevin Smith1, Cheri L. Canon1, Desiree E. Morgan1 and Martin J. Heslin2

1 Department of Radiology, University of Alabama at Birmingham, 619 S. 19th St., Birmingham, AL 35249-6830.
2 Department of Surgery, University of Alabama at Birmingham, Birmingham, AL 35249-6830.



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Fig. 1A. —33-year-old woman with crampy right upper quadrant pain of 6 months' duration. Contrast-enhanced CT scan shows enlarged nodular appendix (arrows). Note minimal surrounding inflammatory changes.

 


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Fig. 1B. —33-year-old woman with crampy right upper quadrant pain of 6 months' duration. Contrast-enhanced CT scan obtained at level cephalad to A shows heterogeneous left adrenal mass (arrow).

 


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Fig. 1C. —33-year-old woman with crampy right upper quadrant pain of 6 months' duration. Gross pathologic specimen shows diffusely enlarged nodular appendix with muscular hypertrophy of wall, which contained multiple ganglioneuromas on histologic examination (black arrows) and adjacent plexiform neurofibroma (white arrow).

 

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