Hyperbilirubinemia Following Retroperitoneal Mass Resection in a Patient with Sickle Cell Anemia

Abstract

A 46-year-old man with sickle cell anemia was taken to the operating room for resection of a 19 cm right-sided retroperitoneal mass identified on CT performed for flank pain (Fig. 1A). The mass was removed en bloc with the adrenal and kidney (Fig. 1B). Hepatic mobilization with ligation of the venous branches draining the caudate lobe and the right hepatic artery was performed along with a small, non-anatomical partial hepatectomy at a location where the mass was densely adherent to the liver. On post-operative day#2 the patient was jaundiced.