PMC4000306_01
Abdominal CT - coronal reconstruction - showing the mass.
cro-0007-0222-g01.jpg
PMC4000306_01_cro-0007-0222-g01.jpg
F1
Computerized tomography was performed for staging which revealed a large mass of 20.8 x 16.5 x 10.6 cm (1,902.6 cm3) in size with multiple areas of central necrosis and significant neovascularization in the left adrenal topography without a cleavage plane with pancreas and left kidney and thrombus in the inferior vena cava (fig. 1, fig. 2).
Abdominal cavity after resection.
cro-0007-0222-g03.jpg
PMC4000306_01_cro-0007-0222-g03.jpg
F3
The patient was submitted to surgery with en bloc resection of the mass, body and tail pancreatectomy, splenectomy, left nephrectomy and thrombectomy of the inferior vena cava (fig. 3, fig. 4).