PMC6563345_01
Abdominal CT revealed an 8 cm left renal growth suggestive of neoplasia.
gr1.jpg
PMC6563345_01_gr1.jpg
fig0005
Abdominal CT revealed an 8 cm left renal growth suggestive of neoplasia, with the involvement of the tail of the pancreas, tumor thrombus in the left renal vein and multiple left para-aortic adenopathies (Fig.1).
Isolation of the superior mesenteric artery what was thought to be the left renal artery.
gr2.jpg
PMC6563345_01_gr2.jpg
fig0010
Caudal splenopancreatectomy was performed with section of the pancreas with a GIA 80 (vascular load), followed by proximal ligation and section of the splenic artery and what was thought to be the left renal artery (Fig. 2).
Terminoterminal anastomosis was performed [G1] from the proximal stump of the splenic artery.
gr3.jpg
PMC6563345_01_gr3.jpg
fig0015
After removing the specimen, the distal stump of the superior mesenteric artery was exposed, and a repair with a terminoterminal anastomosis was performed from the proximal stump of the splenic artery (Fig. 3).
Abdominal CT at three months showed permeability of the celiac trunk and the superior mesenteric artery.
gr4.jpg
PMC6563345_01_gr4.jpg
fig0020
Control imaging at three months showed permeability of the celiac trunk and the superior mesenteric artery (Fig. 4).