title: A Rare Presentation of AKI: Gastric Infiltration of the Bladder Wall.
abstract: We describe the case of a man who presented with back pain and acute kidney injury and was found to have bilateral ureteral obstruction, which initially corrected with ureteral stents. Imaging studies showed thickening of the bladder. Shortly thereafter, he developed obstructive jaundice, pancreatitis, recurrence of renal failure, and was diagnosed with advanced gastric cancer after a laparotomy revealed peritoneal carcinomatosis. The patient deteriorated rapidly after diagnosis. While peritoneal carcinomatosis, ureteral metastases, and extrinsic ureteral compression have been recognized in gastric cancer, obstructive renal failure due to tumor infiltration of the bladder wall is seldom described. We present this case as an unusual cause of acute renal failure and presentation of gastric cancer.
authors.affiliation: Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA.
authors.forename: Sandipani
authors.initials: S
authors.lastname: Sandilya
authors.affiliation: Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA.
authors.forename: Ladan
authors.initials: L
authors.lastname: Golestaneh