Adrenal cortical carcinoma associated with a splenic vein tumor thrombus.
A unique case is reported of a left adrenal cortical carcinoma with a splenic vein tumor thrombus. En bloc radical nephroadrenalectomy, distal pancreatectomy, splenectomy and splenic vein tumor thrombectomy were performed. Reconstruction of the proximal portal vein was required, incorporating a segment of the left renal vein (harvested from the surgical specimen) as a free interposition graft, bridging the defect between the superior mesenteric vein and portal vein. To our knowledge, this is the first reported case of an adrenal cortical carcinoma associated with a splenic vein tumor thrombus. In addition, the described technique used to reconstruct the proximal portion of the portal vein has not been previously reported.
Stein
J P
JP
Department of Urology, University of Southern California, Los Angeles 90033, USA.
Selby
R R
RR
Cote
R J
RJ
Hopkins
B
B
Figueroa
A J
AJ
Skinner
D G
DG
D000306:Adrenal Cortex Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000000981:diagnostic imaging / Q000556:secondary*; D005260:Female; D006801:Humans; D013162:Splenic Vein; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D019043:Vascular Neoplasms / Q000556:secondary*