PMC3974465_01
Showing large pelvic and abdominal heterogenous mass 24.6 x 33.0 x 43.1 with both solid and cystic areas.
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F0001
No comment was given in regards to the ureters. (Figure 1).
Showing large abdominal/pelvic mass distorting the whole pelvic anatomy and making identification of ureters very difficult.
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F0002
During exploration with the oncologist we had to explore the bladder because the huge mass was occupying the whole abdomen and the retroperitoneal space. (Figures 2, 3).
Showing inability to access the retroperitoneal space without careful dissection.
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F0003
During exploration with the oncologist we had to explore the bladder because the huge mass was occupying the whole abdomen and the retroperitoneal space. (Figures 2, 3).
Careful dissection of mass from surrounding structures.
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F0004
After gradual dissection (Figure 4) we were able to find the right ureter with the aid of the ureteric catheter.
Appearance of pelvis after removal of mass, total abdominal hysterectomy, bilateral salpingo-opherectomy, and appendectomy.
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F0005
Finally we were able to separate the bladder and remove the large multi-lobulated pelvic mass + total abdominal hysterectomy, bilateral salpingo-oophorectomy, and appendectomy performed at the same time (Figure 5).