PMC7246399_01
Chest X-ray showing dextrocardia.
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A chest X-ray revealed dextrocardia (Figure 1).
Computed tomography demonstrated a mass in the right kidney and mirror-image organs with left-to-right reversal (a) and bronchiectasia with situs inversus (b).
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Enhanced abdominal computed tomography (CT) has confirmed the situs inversus and showed a bulky mass in the right kidney, measuring 7 cm x 8 cm (anterolateral and craniocaudal) with cystic patches and multiple images of thickened septa (Figure 2).
Intraoperative image showing the kidney and the tumor lesion (a) and specimen of partial nephrectomy (b).
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The favorable RENAL nephrometry score (6a) allow us to put forward a partial nephrectomy with open approach, by a flank incision along the eleventh intercostal space (Figure 3). The histologic examination of the surgical specimen revealed a renal cell carcinoma:the margins were not affected.