Patient Profile:
- Age: 35 years
- Gender: Male
Medical History:
- Diagnosed with a left renal mass 3 years ago, but did not undergo surgery due to fear.
- Developed severe pain in the left flank three years later.
Diagnostic Imaging:
- CT scan revealed a huge renal cancer involving the left renal vein and extending into the IVC just below the opening of the hepatic veins.
- PET scan showed non-metastatic disease.
A 35-year-old gentleman was diagnosed with a left renal mass 3 years ago. However, as he was afraid he did not undergo any surgery. Three years later he was developing severe pain in the left flank. He was diagnosed with a huge Renal cancer involving the left renal vein and extending into IVC just below the opening of the hepatic veins. The patient was referred to us. PET scan showed the disease still as nonmetastatic. We explored the patient the mass was stuck to the psoas muscle and was involving the left mesocolon. We mobilized the right lobe of the liver and mobilized the caudate lobe off the cava. Looped the intrahepatic cave and the cava just below the hepatic veins. We looped the left and right renal veins tied the adrenal and lumbar veins opened the cav and then delivered the thrombus.. we had to sacrifice the left colon and did a primary anastomosis for the colon. The postop patient had ileus for 7 days but recovered and was discharged.
This case illustrates the challenging surgical management of renal cancer with IVC thrombus. Despite the complexity of the procedure and postoperative complications, successful removal of the tumor and thrombus was achieved. Close postoperative monitoring and follow-up are essential for the patient’s recovery and long-term outcomes.
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Tags:
Dr. Manoj Dongare
Surgical Oncologist
Cancer Specialist
Cancer Surgeon
Cancer Treatment
Cancer Surgery
Renal Cancer
Kidney Cancer
Kidney Cancer Treatment
Kidney Cancer Surgery
Inferior Vena Cava Thrombus
Renal Vein
Whipple Procedure
Colon Resection
Primary Anastomosis