Gangliocytic paraganglioma treated with ampullectomy, A case report

•Gangliocytic paraganglioma are rare neuroendocrine tumors.•Gangliocytic paragangliomas are typically found within the duodenum.•These tumors are commonly benign, but have malignant potential.•There is no defined standard of treatment for gangliocytic paraganglioma.

BackgroundGangliocytic paragangliomas are rare, and typically benign neuroendocrine neoplasms usually found in the second portion of the duodenum. Though recurrence is rare, metastatic cases have been noted. A standardized treatment has not been determined. An endoscopic resection can be carried out, unless metastasis has been noted. We present the case of a patient who underwent an ampullectomy, with successful removal of the tumor, and no recurrence on follow-up.Case summaryWe present a case involving a 58-year-old gentleman, who presented with dysphagia, and ultimately diagnosed with a periampullary mass proven to be a gangliocytic paraganglioma. The tumor was resected in-toto via an ampullectomy. The patient had no recurrence after twenty-one months.ConclusionIn conclusion, we present the case of an incidental gangliocytic paraganglioma occurring in the periampullary region of the patient. Ampullectomy was carried out and to date the patient has had no recurrence. Rarity of this tumor, along with treatment choice, makes it especially worthy of notability.