Management of acute intra-operative thromboembolism in renal cell carcinoma.

Renal cell carcinoma (RCC) is the most common malignant tumor of the kidney and has got association with inferior vena cava (IVC) extension in 5-10% of the patients. In this case report, we present a case of a 22-year- young female who was posted for radical nephrectomy and tumor thrombectomy to remove the thrombus extending up to IVC- right atrium junction. The surgical procedure was complicated by intraoperative thromboembolism during tumour manipulation. Continual Trans esophageal monitoring helps in early diagnosis of thromembolic event. Immediate diagnosis and awareness of clinical management in such circumstances contribute to a decrease in the associated morbidity and mortality.