Adrenal Tumor with Inferior Vena Cava Tumor Thrombus: A Case Report and Review of Literature.

Purpose: To report a rare case of secondary adrenal tumor with tumor thrombus in inferior vena cava (IVC) managed by three-dimensional laparoscopy and review the relevant literature. Case Report: A 60-year-old male patient operated for left-sided renal cell carcinoma 7 years ago, presented with asymptomatic secondary right adrenal tumor with tumor thrombus extending into the IVC through the right adrenal vein. A three-dimensional laparoscopic adrenalectomy with en bloc tumor thrombus evacuation from the IVC was performed. Literature Review and Discussion: The available literature was scanned and reviewed. There was a paucity of literature on the secondary adrenal tumors with IVC thrombus and to the best of our knowledge so far there is no reported case of secondary right adrenal tumor with IVC tumor thrombus that has been managed by three-dimensional laparoscopy. Conclusion: Secondary adrenal tumors with IVC tumor thrombus are rare but challenging and can present after many years of primary surgery. The low-level vena cava tumor thrombus can be managed with three-dimensional laparoscopy.