Primary squamous carcinomatous ureteric stricture of a solitary kidney with spontaneous intraperitoneal urinary extravasation.
We report a very rare case of a carcinoma of the ureter occurring in association with contralateral renal agenesis. Owing to this association, the patient had a unique presentation with urinary ascites and anuria. He was initially managed by retrograde ureteral stenting and supportive measures for renal failure. Thereafter, once the renal parameters became normal, distal ureterectomy and Boari flap reconstruction were performed. Although most patients with ureteral tumours present with advanced disease, the disease was localized in our patient, as the absence of the contralateral kidney resulted in an early presentation.
Pandey
S
S
Department of Urology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.
Kumar
S
S
Dorairajan
L N
LN
Agarwal
A
A
Krishnan
S
S
Elangovan
S
S
D002294:Carcinoma, Squamous Cell / Q000150:complications*; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D008875:Middle Aged; D010529:Peritoneal Cavity; D014516:Ureteral Neoplasms / Q000150:complications*; D014517:Ureteral Obstruction / Q000209:etiology*; D014556:Urine