PMC10098395_01
(a) On computed tomography angiography (CTA), arrows show left adrenal vein that stems from a left adrenal tumor, draining into the inferior vena cava (IVC). Ectopic pelvic kidney is marked with an asterisk. (b) Reconstructed CTA image of left adrenal venous drainage into the IVC.
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F1
Abdominal triphasic computed tomography angiography (CTA) showed that left kidney was ectopically localized in pelvis, and left adrenal vein was draining directly into the IVC posterior to the aorta (Fig. 1).
In this laparoscopic image, left adrenal tumor (marked with an asterisk and left adrenal vein is marked with an arrow) is seen in its original location but left kidney is ectopic and quadratus lumborum can be visualized instead.
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F2
The left adrenal vein draining into the IVC was visualized and clamped with hemostatic clips proximally and distally (Fig. 2).