PMC7235614_01
A contrast enhanced abdominal CT scan image. Red arrow pointing to the leiomyosarcoma and blue arrow pointing to the compressed IVC (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article).
gr1.jpg
PMC7235614_01_gr1.jpg
fig0005
CT scan showed a mass of 3.5 cm between the inferior vena cava and the duodenum (Fig. 1). Chest CT scan was normal.
a. Intraoperative image. A lateral clamp on the IVC allows the blood flow to continue through the vein. After the removal of the mass with a portion of the surrounding vein, the peritoneal patch is hand-sewn to the vein.. b. Intraoperative image. Final results after declamping the vein. The graft covered perfectly the vascular resection and there is not stricture of the vein. Right gonadal vein has been reimplanted.
gr2.jpg
PMC7235614_01_gr2.jpg
fig0010
With gentle manipulation, all the fat tissue was removed from the graft and the patch was sutured with two 5/0 prolene running sutures with the mesothelial aspect applied to the lumen of the vessel (Fig. 2a). The distal stump of the right gonadal vein was reimplanted (Fig. 2b).