Metastatic bladder cancer presenting as duodenal obstruction.

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.