case_images: PMC4000306_01
case_images: Abdominal CT - coronal reconstruction - showing the mass.
case_images: cro-0007-0222-g01.jpg
case_images: PMC4000306_01_cro-0007-0222-g01.jpg
case_images: F1
case_images: 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).
case_images: Abdominal cavity after resection.
case_images: cro-0007-0222-g03.jpg
case_images: PMC4000306_01_cro-0007-0222-g03.jpg
case_images: F3
case_images: 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).