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Surgical Case Reports
Fig. 1 | Surgical Case Reports

Fig. 1

From: Successful surgical management of massive hemoretroperitoneum caused by spontaneous rupture of retroperitoneal lymph node metastases in a patient with advanced mixed germ cell tumor: a COVID-19 pandemic-related surgical challenge

Fig. 1

Preoperative abdominal contrast-enhanced CT showing A the large 13 × 11.4 × 15 cm retroperitoneal mass extending to the preaortic region below the renal veins. A liquefied and necrotic center with hyperdense areas inside the lymph node metastatic mass is clearly depicted (marked with a white arrow) on preoperative CT suggesting bleeding. B Sagittal view of the tumor and its relations with the superior mesenteric artery (yellow arrow) and C coronal view of the tumor and its relations with the left renal vein (yellow arrow), in addition to a significant amount of free intraperitoneal fluid suggestive of hematic content

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