Metastatic bladder cancer presenting as duodenal obstruction.
- Author:
Katherine HAWTIN
1
;
Alex KENT
;
Carole COLLINS
;
Dominic BLUNT
Author Information
- Publication Type:Case Reports
- MeSH: Adult; Carcinoma, Transitional Cell; drug therapy; secondary; Diagnosis, Differential; Duodenal Obstruction; diagnosis; etiology; surgery; Fatal Outcome; Female; Humans; Palliative Care; Retroperitoneal Neoplasms; complications; diagnosis; secondary; Stents; Urinary Bladder Neoplasms; drug therapy; pathology
- From:Annals of the Academy of Medicine, Singapore 2009;38(10):914-912
- CountrySingapore
- Language:English
-
Abstract:
INTRODUCTIONBladder cancer is a common malignancy but presentation with metastatic disease is rare. This is the fi rst reported case of duodenal obstruction as a presentation of metastatic bladder cancer.
CLINICAL PICTUREA middle-aged woman presented with nausea, vomiting, weight loss and intermittent haematuria. Radiology and histology confirmed metastatic bladder cancer to the retroperitoneum encasing the duodenum and causing obstruction.
TREATMENTInsertion of a duodenal stent relieved the obstruction and palliative chemoradiotherapy was initiated.
OUTCOMEThe patient died 15 months after diagnosis.
CONCLUSIONSClinicians and radiologists should be aware of atypical presentations of common malignancies.
