Retroperitoneal Extra-Adrenal Paraganglioma Presenting With Secondary Amenorrhea and Hypertension in an Adolescent: A Rare Case From Sub-Saharan Africa.

Extra-adrenal paragangliomas are rare neuroendocrine tumors that may cause hypertension and reproductive dysfunction in adolescents. We report a 16-year-old girl with uncontrolled hypertension and secondary amenorrhea caused by a functional Organ of Zuckerkandl paraganglioma. Surgical excision restored normal blood pressure and menstruation, highlighting reversible catecholamine-induced hypothalamic-pituitary-gonadal axis suppression.