Ewing's Sarcoma of the Kidney Complicated by a Wunderlich Syndrome.

The Wunderlich syndrome found after the rupture of primitive renal Ewing's sarcoma is not a situation that we find often in everyday practice. The clinical findings are not specific, which is why the differential diagnosis must be made with a multitude of benign and malignant renal masses until the correct diagnosis can be made by the pathologist. The CT and MRI images are not characteristic. One treatment option is the multidisciplinary approach; however, the prognosis remains poor for patients with metastatic disease.

[Primitive Ewing sarcoma presenting as a left adrenal mass associated with a vena cava thrombus]. / Sarcome d'ewing primitif de la surrénale gauche associé à un thrombus cave.

We have studied an unusual clinical case of a left adrenal Ewing's sarcoma associated with a vena cava thrombus discovered during a massive pulmonary embolism. Despite the pulmonary failure, a laparotomy was used. A direct access was possible by using vascular hepatic exclusion an liver transplantation technic without by-pass.