Renal artery thrombosis following secondary cytoreduction in a patient with ovarian cancer.
BACKGROUND
In order to successfully perform aggressive cytoreductive surgery for patients with recurrent epithelial ovarian cancer, resection of retroperitoneal disease in close proximity to major vessels is often required.


METHODS
We describe a case of a 44-year-old female patient with a history of Stage IV carcinoma of the ovary, who underwent a successful secondary debulking procedure. To remove the left para-aortic tumor implant she required complete mobilization of the left kidney, with skeletonization of the left renal artery and vein. Postoperatively, the patient developed left renal artery thrombosis necessitating a unilateral nephrectomy.


CONCLUSIONS
This is, to our knowledge, the first reported case of renal artery thrombosis following a debulking procedure. Gynecologic oncologists should be aware of this possibility and be familiar with the diagnosis and management of this condition.
Zakashansky
Konstantin
K
Division of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Science, Mount Sinai Medical Center, 1176 Fifth Avenue, Box 1173, New York, NY 10029-6574, USA.
Schiff
Jonathan
J
Roayaie
Sasan
S
Rahaman
Jamal
J
Nagarsheth
Nimesh P
NP
D000328:Adult; D002291:Carcinoma, Papillary / Q000601:surgery; D018284:Cystadenocarcinoma, Serous / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D010051:Ovarian Neoplasms / Q000601:surgery*; D012078:Renal Artery Obstruction / Q000209:etiology*; D012086:Reoperation / Q000009:adverse effects; D013927:Thrombosis / Q000209:etiology*