Para-aortic Area Dissection and Left Pelvic Space Dissection in a Case of Carcinoma Ovary

Agniv Sarkar¹, Manoranjan Mahapatra², Jita Parija³, Richi Khandelwal⁴, Smrutisudha Pattnaik⁵

^1–5Department of Gynecological Oncology, Acharya Harihar Post Graduate Institute of Cancer, Cuttack, Odisha, India

Corresponding Author: Agniv Sarkar, Department of Gynecological Oncology, Acharya Harihar Post Graduate Institute of Cancer, Cuttack, Odisha, India, Phone: +91 7980060869, e-mail: sarkaragniv@yahoo.in

How to cite this article: Sarkar A, Mahapatra M, Parija J, et al. Para-aortic Area Dissection and Left Pelvic Space Dissection in a Case of Carcinoma Ovary. J South Asian Feder Obst Gynae 2021;13(4):278.

Source of support: Nil

Conflict of interest: None

ABSTRACT

A 52-year-old patient of carcinoma (CA) ovary was put for primary cytoreductive surgery. The two pictures depict para-aortic space and left pararectal space displaying hypogastric plexus.

Keywords: CA 125, CA ovary, Ovarian carcinoma, Ovary.

A 56-year-old patient, P2L2, was admitted with abdominal distension for the last 2 months. Clinically she had moderate ascites and right-sided adnexal 8 × 7 cm cystic mass. Her CA 125 level was 1182 IU/L and carcinoembryonic antigen (CEA) was 1.2 IU/L. Contrast enhanced CT scan (CECT) revealed the mass with 8.2 × 6.7 cm size with moderate ascites. No lymphadenopathy was there. Patient was put for primary cytoreduction surgery (CRS). This image shows the para-aortic area dissection during lymphadenectomy.

Also, the left pelvic space showing hypogastric plexus is beautifully shown in another image. Patient consent was taken beforehand.

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