The tumor was apposed to the adrenal gland posteriorly and the posterior side of the IVC anteriorly. The adrenal vein was stretched around the lateral side of the tumor.
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The patient was taken to the operating room for resection of the tumor with the goal of pain relief. The abdomen was opened through a midline incision and explored. There was no pathology other than the known tumor. The hepatic flexure was mobilized caudally and the duodenum was kocherized.
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