Case Report
 
A rare case of left adrenal cortical carcinoma with inferior vena cava tumor thrombus managed with use of piggyback mobilization technique: A case report
Jayesh Gori1, Nithya Manyath2, Deepak Bhojwani2, Debanshu Bhaduri3, Manish Bhatia4
1M.S, (General Surgery), Registrar, Department of Surgical Oncology, M.N.B.C.I., Inlaks and Budhrani Hospital, Pune, Maharashtra, India.
2D.N.B, (General Surgery), Senior Resident, Department of Surgical Oncology, M.N.B.C.I., Inlaks and Budhrani Hospital, Pune, Maharashtra, India.
3M.S, (Consultant Oncosurgeon), Primary Consultant Oncosurgeon, Department of Surgical Oncology, M.N.B.C.I., Inlaks and Budhrani Hospital, Pune, Maharashtra, India.
4M.Ch, (Surgical Oncology), Primary consultant oncosurgeon, Department of Surgical Oncology, M.N.B.C.I., Inlaks and Budhrani Hospital, Pune, Maharashtra, India.

doi:10.5348/ijcri-2014104-CR-10415

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How to cite this article
Gori J, Manyath N, Bhojwani D, Bhaduri B, Bhatia M. A rare case of left adrenal cortical carcinoma with inferior vena cava tumor thrombus managed with use of piggyback mobilization technique: A case report. Int J Case Rep Images 2014;5(8):586–589.


Abstract
Introduction: Adrenal cortical carcinoma has tendencies to involve adrenal vein, renal vein, inferior vena cava and rarely, reaching up to right atrium. In literature, a very few cases (mainly as case report and a very few case series) of left adrenal cortical carcinoma with inferior vena cava tumor thrombus are reported. Though aggressive surgical approach is the most effective therapeutic option available for long-term survival, surgery itself is challenging due to retroperitoneal location, inferior vena cava tumor extension, risk of massive hemorrhage, possibility of tumor thrombo-emboli and requirement of cardiopulmonary bypass.
Case Report: A rare case of a 25-year-old female having left adrenal cortical carcinoma extending into inferior vena cava managed using piggyback technique of liver mobilization with minimal morbidity.
Conclusion: Adrenal cortical carcinoma has tendency to extend into inferior vena cava which is rare phenomenon and is not a contraindication for surgery. If managed with the use of piggyback technique of liver mobilization, it results in reduced morbidity with maximal oncological clearance.

Keywords: Adrenal cortical carcinoma, Inferior vena cava tumor thrombus, Piggyback technique, Cardiopulmonary bypass


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Author Contributions
Jayesh Gori – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Nithya Manyath – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Deepak Bhojwani – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Debanshu Bhaduri – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Manish Bhatia – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
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The corresponding author is the guarantor of submission.
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Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Jayesh Gori et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.