PMC6927075_01
Retroperitoneal mass (white arrow) with fat and soft tissue component occupying almost the entire abdominal cavity pressing unto the right kidney.
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fig1
It shows a clear plane from the aorta while the inferior vena cava is compressed (Figure 1).
Macroscopic and microscopic view of the tumor. (a) Gross view of the tumor: 47 x 34 x 17 cm and weighs 11 kg. (b) Histopathology showing a well-differentiated liposarcoma with scattered bizarre stromal cells and marked nuclear hyperchromasia (hematoxylin & eosin stain, 400x).
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fig2
Wide excision with en bloc right ureterectomy was performed, leaving approximately 3 cm of the proximal 3rd of the ureter (Figure 2).
The autotransplanted right kidney.
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fig3
The third renal artery was then anastomosed to the inferior epigastric artery while the remnant ureter was re-implanted to the anterolateral bladder wall (Figure 3).