Patient underwent surgical treatment by median xyphopubic laparotomy. The opened small omentum did not enable to approach celiac artery by epiplon retrocavity because aneurysm do not enabled its visualization. A dissection, therefore, was carried out resealing partly the right lateral wall of aneurysmatic sac with the aim to identify celiac artery that also enable its visualization. We opted to perform a medial visceral rotation with descending colon mobilization by the incision of lateral reflection of peritoneum, cranially prolonged with section of phrenicocolic and splenorenal ligament. The plan was achieved between pancreas and Gerota’s fascia, promoting anteromedial rotation of the spleen, pancreas and stomach, therefore identifying the tumors (Figure 3).