Renal cell carcinomas are the most common renal neoplasm with high mortality. Recurrence of neoplasm is not uncommon following treatment. However, we present an extremely rare case of 74-year-old male patient of recurrent renal cell carcinoma with tumour thrombosis into left circumaortic vein which has not been reported previously in literature to our best knowledge. CT urography is the study of choice for clear delineation of the site and extension of the neoplastic lesion. Rare venous anomalies of renal vein are of utmost importance in order to plan surgical management and prognosis in follow-up cases especially after partial nephrectomy.
PatelUSokhiH. Imaging in the follow-up of renal cell carcinoma. AJR Am J Roentgenol2012; 198: 1266–1276.
2.
CoquiaSFJohnsonPTAhmedS, et al. MDCT imaging following nephrectomy for renal cell carcinoma: protocol optimization and patterns of tumor recurrence. World J Radiol2013; 5: 436–445.
3.
ChapinBDelacroixSEJrWoodCG. Renal cell carcinoma: what the surgeon and treating physician need to know. AJR Am J Roentgenol2011; 196(6): 1255–1262
4.
Arevalo PerezJGragera TorresFMarin ToribioA, et al. Angio CT assessment of anatomical variants in renal vasculature: its importance in the living donor. Insights Imag2013; 4(2): 199–211.
5.
CatalanoCFraioliFLaghiA, et al. High-resolution multidetector CT in the preoperative evaluation of patients with renal cell carcinoma. AJR Am J Roentgenol2003; 180(5): 1271–1277.
6.
HandelDBHeastonDKKorobkinM, et al. Circumaortic left renal vein with tumor thrombus: CT diagnosis with angiographic and pathologic correlation. AJR Am J Roentgenol1983; 141: 97–98.
7.
MarshHCranstonDSullivanM. Renal cell carcinoma with retro-aortic renal vein thrombus: a case series. BJU Int2010; 105(5): 628–630
8.
MatsuuraTMorimotoYNoseK, et al. Venous abnormalities incidentally accompanied by renal tumors. Urol Int2004; 73(2): 163–168
9.
LeeEKWetzelLHHolzbeierleinJM. Circumaortic renal vein tumor thrombus in renal cell carcinoma. Int J Urol2011; 18(8): 605–606.
