ADRENAL-CORTICAL CARCINOMA-ASSOCIATED WITH A SPLENIC VEIN TUMOR THROMBUS

A unique case is reported of a left adrenal cortical carcinoma with a splenic vein tumor thrombus. En bloc radical nephroadrenalectomy, dist al pancreatectomy, splenectomy and splenic vein tumor thrombectomy wer e performed. Reconstruction of the proximal portal vein was required, incorporating a segment of the left renal vein (harvested from the sur gical specimen) as a free interposition graft, bridging the defect bet ween the superior mesenteric vein and portal vein. To our knowledge, t his is the first reported case of an adrenal cortical carcinoma associ ated with a splenic vein tumor thrombus. In addition, the described te chnique used to reconstruct the proximal portion of the portal vein ha s not been previously reported.