(b) Coronal view of abdominal CT without IV contrast shows disruption of calcification in aortic wall (upper arrow) and periaortic soft tissue thickening around the infrarenal aorta and around
bifurcation of aorta into common iliac arteries (lower arrow).
He underwent single hemodialysis followed by laparoscopic left radical nephrectomy with lymph node dissection extending from renal hilum to the
bifurcation of aorta. During lyphadenectomy it was noticed that the lymph nodes were matted together and adhered to great vessels as well as to retroperitoneal tissues.
The other took origin from the aorta between the inferior mesenteric and the
bifurcation of aorta. Both arteries were of equal caliber.
