Ganglioneuromas are rare, benign, slow-growing tumors arising from the neural crest. They are most commonly in posterior mediastinum, retroperitoneum, adrenal medulla and neck. They are very rare in presacral region. A 15 year old girl presented with abdominal pain and chronic constipation. A mass was seen between the uterus and sacrococcygeal bone in abdominal CT. It is resected totally and evaluated as ganglioneuroma. Conclusion: Presacral ganglioneuroma is a benign tumor which is rarely encountered. Patients might present with abdominal pain and constipation complaints as seen in our patient. Therefore, imaging methods should certainly be used for patients with chronic constipation which is resistance to treatment.
___
Kattepura S, Alexander B, Kini U, et al. Sporadic synchronous ganglioneuromas in a child--case report and review. J Pediatr Surg. 2010;45:822-5. Geoerger B, Hero B, Harms D, et al. Metabolic activity and clinical features of primary ganglioneuromas. Cancer. 2001;91:1905-13.
Özdülger A, Ayan E, Köksel O, et al. A case of giant ganglioneuromaTurkish J Thoracic Cardiovascular Surg. 2007;15:72-5.
Lonergan GJ, Schwab CM, Suarez ES, rt al. Neuroblastoma, ganglioneuroblastoma, and ganglioneuroma: radiologic-pathologic correlation. Radiographics. 2002;22:911-34.
Stout AP. Ganglioneuroma of the sympathetic nervous system. Surg Gynecol Obstet. 1947;84:101-10.
Cerullo G, Marrelli D, Rampone B, et al. Presacral ganglioneuroma: a case report and review of literature. World J Gastroenterol. 2007;13:2129-31.
Vardas K, Manganas D, Papadimitriou G, et al. Presacral ganglioneuroma: diagnostic considerations and therapeutic strategy. Case Rep Oncol. 2013;6:561-8.
Okai T, Minamoto T, Ohtsubo K, et al. Presacral ganglioneuroma arising in an elderly man with persistent constipation. Abdom Imaging. 2001;26:215-7.
Scherer A, Niehues T, Engelbrecht V. Imaging diagnosis of retroperitoneal ganglioneuroma in childhood. Pediatr Radiol. 2001;31:106-10.
Han PP, Dickman CA. Thoracoscopic resection of thoracic neurogenic tumors. J. Neurosurgery. 2002;96: 304-8.
Lynch NP, Neary PM, Fitzgibbon JF, et al. Successful management of presacral ganglioneuroma: A case report and a review of the literature. Int J Surg Case Rep. 2013;4:933-5.