title: Adenocarcinoma in bladder diverticulum, metastatic from gastric cancer.
abstract: BACKGROUND
  Metastasis to the urinary bladder from gastric cancer is rare. Metastasis to a diverticulum of the bladder from gastric cancer is extremely rare. We report a case of isolated bladder metastasis from gastric cancer and invasion localized to the muscularis propria of the primary site (stomach).
  
  
  METHODS
  A 90-year-old female presented with nausea and vomiting that was diagnosed as gastric cancer, the patient also had intermittent hematuria. Pelvic computed tomography identified an abnormally thickened area in the bladder wall that was diagnosed as a diverticulum of the bladder. A biopsy of the bladder wall revealed well differentiated tubular adenocarcinoma metastatic from gastric carcinoma.
  
  
  CONCLUSIONS
  Almost all cases of bladder metastasis from gastric cancer had peritoneal dissemination. This particular presentation of bladder metastasis from gastric cancer, to the best of our knowledge, has not been previously reported.
authors.affiliation: Department of Surgical Oncology, Gifu University Hospital, 1-1 Yanagido, Gifu City 501-1193, Japan. nobuhisa517@hotmail.com
authors.forename: Nobuhisa
authors.initials: N
authors.lastname: Matsuhashi
authors.forename: Kazuya
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: Taiso
authors.initials: T
authors.lastname: Tamura
authors.forename: Kuniyasu
authors.initials: K
authors.lastname: Shimokawa
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Sugiyama
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Adachi