Simultaneous Cesarean Section and Radical Nephrectomy With Tumor Thrombectomy During Pregnancy

Simultaneous Cesarean Section and Radical Nephrectomy With Tumor Thrombectomy During Pregnancy Publisher

Ayati M¹ ; Damavand RS¹ ; Nowroozi MR¹ ; Inanloo H¹ ; Amini E¹ ; Ayati E²

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1. Uro-Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran
2. Departemnt of Obstretrics and Gynecology, Tehran University of Medical Sciences, Tehran, Iran

Source: Acta Medica Iranica Published:2019

Abstract

Renal cell carcinoma (RCC) is uncommon during pregnancy. Accurate and timely diagnosis and careful preoperative planning are essential to optimize the patient outcomes. A 27-year-old pregnant woman presented with a large mass in left kidney and inferior vena cava (IVC) tumor thrombus, diagnosed at 33 weeks gestation. She was evaluated with an initial impression of pyelonephritis at other institutions and referred to our center after a delay of more than 3 weeks. RCC with IVC tumor thrombus has the potential to increase the likelihood of thromboembolic events including pulmonary embolism during pregnancy. Furthermore, simultaneous radical nephrectomy with IVC thrombectomy and Cesarean section (CS) is challenging and might be associated with significant intraoperative blood loss. After consultation with an obstetrician and cardiac surgery team, our patient underwent CS and simultaneous left radical nephrectomy with IVC thrombectomy at 34 weeks gestation. The postoperative course was uneventful and histologic analysis revealed pT3bN0M0 papillary RCC. © 2019 Tehran University of Medical Sciences. All rights reserved.

Style	Citing Format
MLA	Ayati M, et al.. "Simultaneous Cesarean Section and Radical Nephrectomy With Tumor Thrombectomy During Pregnancy." Acta Medica Iranica, vol. 57, no. 1, 2019, pp. 72-74.
APA	Ayati M, Damavand RS, Nowroozi MR, Inanloo H, Amini E, Ayati E (2019). Simultaneous Cesarean Section and Radical Nephrectomy With Tumor Thrombectomy During Pregnancy. Acta Medica Iranica, 57(1), 72-74.
Chicago	Ayati M, Damavand RS, Nowroozi MR, Inanloo H, Amini E, Ayati E. "Simultaneous Cesarean Section and Radical Nephrectomy With Tumor Thrombectomy During Pregnancy." Acta Medica Iranica 57, no. 1 (2019): 72-74.
Harvard	Ayati M et al. (2019) 'Simultaneous Cesarean Section and Radical Nephrectomy With Tumor Thrombectomy During Pregnancy', Acta Medica Iranica, 57(1), pp. 72-74.
Vancouver	Ayati M, Damavand RS, Nowroozi MR, Inanloo H, Amini E, Ayati E. Simultaneous Cesarean Section and Radical Nephrectomy With Tumor Thrombectomy During Pregnancy. Acta Medica Iranica. 2019;57(1):72-74.
BibTex	@article{ author = {Ayati M and Damavand RS and Nowroozi MR and Inanloo H and Amini E and Ayati E}, title = {Simultaneous Cesarean Section and Radical Nephrectomy With Tumor Thrombectomy During Pregnancy}, journal = {Acta Medica Iranica}, volume = {57}, number = {1}, pages = {72-74}, year = {2019} }
RIS	TY - JOUR AU - Ayati M AU - Damavand RS AU - Nowroozi MR AU - Inanloo H AU - Amini E AU - Ayati E TI - Simultaneous Cesarean Section and Radical Nephrectomy With Tumor Thrombectomy During Pregnancy JO - Acta Medica Iranica VL - 57 IS - 1 SP - 72 EP - 74 PY - 2019 ER -

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