Patient over 70 years since the last fifteen to the doctor for increased progressive abdominal girth. He carried out several tests and concluded that he had a large retroperitoneal tumor and recommended surgery. The patient did not accept because he was well and had to take care of their 6 children. Throughout this period the abdominal mass was growing slowly, despite the progressive deterioration of their quality of life, the family was unable to persuade her to return to the doctor.
few weeks before coming to our hospital the patient could not get out of bed, I could barely eat and had a progressive respiratory distress that prevented him from lying. I had to sleep sitting up. Cuando llegó a la consulta estaba en una fase preterminal. Le planteamos que la única solución era intentar quitarle la masa que medía unos 80x90 cm y que se originaba en el retroperitoneo izquierdo. La paciente aceptó la intervención-no tenía alternativa-sabiendo que podía morir en el quirófano. Cuando le pregunté por qué no había querido operarse antes, me contestó: “De algo hay que morirse doctor y yo ya soy muy mayor”. Supongo que al ver la muerte más cercana cambió de opinión: ¡quién no lo hubiera hecho!
Las imágenes que se presentan a continuación no son agradables. Recomiendo a las personas impresionables no see them. In any case that is under your responsibility to see
Image 1 appearance of the abdomen of the patient with marked incision.
Picture 4 beginning of the removal performed by four surgeons.
Picture 5 pulling the mass to gain access to the pelvis for its removal.
Picture 6 the tumor once removed of its size and weight (25 kilos) did not fit into any container, we had to use a container.
Picture 7 the abdomen of the patient once the intervention.
The patient was discharged without complications at 12 days was necessary to remove a muscle and a nerve root that has to do with the mobility of the left leg. Currently leading a normal life with a sequel in motion.
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