[Urinary tract involvement as the first clinical manifestation of adenocarcinoma of the colon].
A patient with a previous history of left renal colic and no evidence of passing calculi was admitted to hospital for exacerbation of the urinary condition. The IVP and US evaluation revealed a ureteral stop which appeared to be extrinsic on retrograde uretero-pyelography. Surgery disclosed a large urinoma in the lumbar fossa. The compromised ureteral segment was removed and the pathological analysis of the surgical specimen revealed infiltration from adenocarcinoma. A primary tumor was sought early postoperatively due to irregular constipation referred by the patient. Finally, adenocarcinoma of the sigmoid colon was found. Only 8 similar cases of urinoma from extravasation due to ureteral obstruction secondary to a tumor have been reported in the literature up to 1982.
Servicio de Urología, Hospital de la Esperanza, Barcelona, España.
A
A
Guzmán Fernández
R
R
Cortadellas Angel
S
S
Pérez Herms
M
M
Alberola Ferranti
R
R
Castellanos Acosta
F
F
Alameda Quitllet
J J
JJ
Ballesteros Sampol
D000230:Adenocarcinoma / Q000175:diagnosis / Q000556:secondary*; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D014516:Ureteral Neoplasms / Q000556:secondary*
Afectación de la vía urinaria como primera manifestación clínica de un adenocarcinoma de colon.