Metastatic bladder cancer presenting as duodenal obstruction.
BACKGROUND
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.


METHODS
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.


METHODS
Insertion of a duodenal stent relieved the obstruction and palliative chemoradiotherapy was initiated.


RESULTS
The patient died 15 months after diagnosis.


CONCLUSIONS
Clinicians and radiologists should be aware of atypical presentations of common malignancies.
Hawtin
Katherine
K
Department of Radiology, Imperial College NHS Trust, Charing Cross Hospital, London, United Kingdom. katehawtin@doctors.org.uk
Kent
Alex
A
Collins
Carole
C
Blunt
Dominic
D
D000328:Adult; D002295:Carcinoma, Transitional Cell / Q000188:drug therapy / Q000556:secondary*; D003937:Diagnosis, Differential; D004380:Duodenal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D010166:Palliative Care; D012186:Retroperitoneal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary*; D015607:Stents; D001749:Urinary Bladder Neoplasms / Q000188:drug therapy / Q000473:pathology*