Release of the inferior vena cava ligament during caval thrombectomy causing tumor thrombus embolization

Shivam Joshi, Michael A. Gorin, Gaetano Ciancio

Research output: Contribution to journalArticle

2 Scopus citations


Intraoperative tumor embolization is a rare complication during the surgical management of renal cell carcinoma with tumor thrombus of the inferior vena cava (IVC). We present a case of pulmonary tumor embolism which occurred during liver mobilization immediately following division of the IVC ligament. We hypothesize that this patient's IVC ligament acted as an external barrier to propagation of the tumor thrombus and that its release caused the tumor to rapidly expand leading to embolization. To our knowledge, this is the first report of a pulmonary tumor embolism occurring immediately following division of the IVC ligament.

Original languageEnglish
Pages (from-to)490-492
Number of pages3
JournalUrologia Internationalis
Issue number4
StatePublished - May 1 2013



  • Inferior vena cava ligament
  • Pulmonary tumor embolus
  • Renal cell carcinoma
  • Tumor thrombus

ASJC Scopus subject areas

  • Urology

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