Annals of the Academy of Medicine, Singapore · 2009
Metastatic bladder cancer presenting as duodenal obstruction.
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Hawtin Katherine, Kent Alex, Collins Carole, Blunt Dominic
Аннотация
INTRODUCTION: Bladder 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 PICTURE: A 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.
TREATMENT: Insertion of a duodenal stent relieved the obstruction and palliative chemoradiotherapy was initiated.
OUTCOME: The patient died 15 months after diagnosis.
CONCLUSIONS: Clinicians and radiologists should be aware of atypical presentations of common malignancies.
CLINICAL PICTURE: A 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.
TREATMENT: Insertion of a duodenal stent relieved the obstruction and palliative chemoradiotherapy was initiated.
OUTCOME: The patient died 15 months after diagnosis.
CONCLUSIONS: Clinicians and radiologists should be aware of atypical presentations of common malignancies.