Transdiaphragmatic adrenalectomy for metastatic cervical adenocarcinoma: a technical case report

We present a 60-year old woman with recurrent cervical adenocarcinoma who presented with metastasis to both lungs deva curl arc angel and to her right adrenal gland.A thoracotomy was performed for resection of her pulmonary metastasis and then the right adrenal gland was excised through a trans-diaphragmatic approach.The adrenal gland resection was more complex due to involvement of the tumor with the inferior vena cava (IVC) which was repaired with a PTFE patch graft.This case demonstrates both an interesting approach to surgical resection of multiple metastases as well as a safe, although here more challenging, alternative to partially resect and repair the IVC.