[A case of spontaneous peripelvic extravasation associated with ureteral stenosis caused by retroperitoneal lymph node metastasis of ascending colon cancer].
A case of spontaneous peripelvic extravasation associated with ureteral stenosis caused by retroperitoneal lymph node metastasis of the ascending colon cancer is reported. A 47-year-old woman complained of colic on right costa-vertebral angle. Excretory urograms showed right peripelvic extravasation and CT-scan showed urinoma formation around right kidney. Subsequent examination of right retrograde pyelo-ureterograms showed ureteral stenosis at sacro-iliac region. Operative findings revealed ureteral stenosis caused by retroperitoneal lymph node metastasis of ascending colon cancer, which was regarded as inoperable. There are a few reports of spontaneous peripelvic extravasation caused by a malignant tumor in Japanese literature. Twenty of them are reviewed.
Sakaguchi
H
H
Department of Urology, Kinki University School of Medicine.
Seguchi
T
T
Kajikawa
H
H
Nishioka
T
T
Takada
M
M
D000230:Adenocarcinoma / Q000150:complications / Q000556:secondary*; D003110:Colonic Neoplasms / Q000150:complications*; D005119:Extravasation of Diagnostic and Therapeutic Materials; D005260:Female; D006801:Humans; D007682:Kidney Pelvis; D008207:Lymphatic Metastasis; D008875:Middle Aged; D012186:Retroperitoneal Neoplasms / Q000150:complications / Q000556:secondary*; D014517:Ureteral Obstruction / Q000209:etiology*