Abstract

A common clinical presentation, however, the diagnosis was different from the common differentials. Presenting to you a case of malena, headache, dizziness, fatigue. He presented as a diagnostic dilemma. A battery of tests performed to ascertain the diagnosis. After multidisciplinary team approach, it was unanimously decided to subject the patient to surgery. The histopathological examination showed spindle cells, epitheloid cells and ganglion cells, thereby clinching the diagnosis of ‘Duodenal Gangliocytic Paraganglioma’. The first case was reported in 1957, however only a few hundred cases are available in the literature mostly in the form of case reports. Existing case series contain only single digit cases. Because of the rarity of the case, it is important to report thereby adding to the existing literature.