title: Renal artery thrombosis following secondary cytoreduction in a patient with ovarian cancer.
abstract: 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.
authors.affiliation: 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.
authors.forename: Konstantin
authors.initials: K
authors.lastname: Zakashansky
authors.forename: Jonathan
authors.initials: J
authors.lastname: Schiff
authors.forename: Sasan
authors.initials: S
authors.lastname: Roayaie
authors.forename: Jamal
authors.initials: J
authors.lastname: Rahaman
authors.forename: Nimesh P
authors.initials: NP
authors.lastname: Nagarsheth
mesh_terms: 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*