Renal pelvis cancer with initial symptoms of malignant gastric outlet obstruction
Introduction Gastric outlet obstruction caused by upper tract urothelial carcinoma is rare. Case presentation A 78‐year‐old man presented to the hospital with nausea and vomiting. No hematuria was observed. Computed tomography revealed a tumor in the right renal pelvis and duodenal stenosis. Gastroj...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | IJU Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/iju5.12652 |
| _version_ | 1797627735555702784 |
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| author | Nao Iwamoto Masaaki Oikawa Takashi Kukimoto Jun Ito Kazuhiro Murakami Yasuhiro Kaiho |
| author_facet | Nao Iwamoto Masaaki Oikawa Takashi Kukimoto Jun Ito Kazuhiro Murakami Yasuhiro Kaiho |
| author_sort | Nao Iwamoto |
| collection | DOAJ |
| description | Introduction Gastric outlet obstruction caused by upper tract urothelial carcinoma is rare. Case presentation A 78‐year‐old man presented to the hospital with nausea and vomiting. No hematuria was observed. Computed tomography revealed a tumor in the right renal pelvis and duodenal stenosis. Gastrojejunostomy was performed to treat the symptoms of the gastric outlet obstruction so that the patient could resume oral intake and outpatient chemotherapy. Chemotherapy was unsuccessful, and the patient died 9 months after the gastrojejunostomy. Histological assessment of an autopsy specimen revealed plasmacytoid urothelial carcinoma with direct infiltration of the duodenal wall, which caused the stenosis. Conclusion Autopsy revealed a right renal pelvis cancer causing gastric outlet obstruction. Early gastrojejunostomy enabled oral intake and outpatient visits. |
| first_indexed | 2024-03-11T10:28:33Z |
| format | Article |
| id | doaj.art-5b2051242717463b811ee6db0f4f16cb |
| institution | Directory Open Access Journal |
| issn | 2577-171X |
| language | English |
| last_indexed | 2024-03-11T10:28:33Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj.art-5b2051242717463b811ee6db0f4f16cb2023-11-15T06:01:08ZengWileyIJU Case Reports2577-171X2023-11-016647547810.1002/iju5.12652Renal pelvis cancer with initial symptoms of malignant gastric outlet obstructionNao Iwamoto0Masaaki Oikawa1Takashi Kukimoto2Jun Ito3Kazuhiro Murakami4Yasuhiro Kaiho5Division of Urology, Faculty of Medicine Tohoku Medical and Pharmaceutical University Sendai JapanDivision of Urology, Faculty of Medicine Tohoku Medical and Pharmaceutical University Sendai JapanDivision of Urology, Faculty of Medicine Tohoku Medical and Pharmaceutical University Sendai JapanDivision of Urology, Faculty of Medicine Tohoku Medical and Pharmaceutical University Sendai JapanDivision of Pathology, Faculty of Medicine Tohoku Medical and Pharmaceutical University Sendai JapanDivision of Urology, Faculty of Medicine Tohoku Medical and Pharmaceutical University Sendai JapanIntroduction Gastric outlet obstruction caused by upper tract urothelial carcinoma is rare. Case presentation A 78‐year‐old man presented to the hospital with nausea and vomiting. No hematuria was observed. Computed tomography revealed a tumor in the right renal pelvis and duodenal stenosis. Gastrojejunostomy was performed to treat the symptoms of the gastric outlet obstruction so that the patient could resume oral intake and outpatient chemotherapy. Chemotherapy was unsuccessful, and the patient died 9 months after the gastrojejunostomy. Histological assessment of an autopsy specimen revealed plasmacytoid urothelial carcinoma with direct infiltration of the duodenal wall, which caused the stenosis. Conclusion Autopsy revealed a right renal pelvis cancer causing gastric outlet obstruction. Early gastrojejunostomy enabled oral intake and outpatient visits.https://doi.org/10.1002/iju5.12652gastric bypassgastric outlet obstructionkidney pelvisneoplasm |
| spellingShingle | Nao Iwamoto Masaaki Oikawa Takashi Kukimoto Jun Ito Kazuhiro Murakami Yasuhiro Kaiho Renal pelvis cancer with initial symptoms of malignant gastric outlet obstruction IJU Case Reports gastric bypass gastric outlet obstruction kidney pelvis neoplasm |
| title | Renal pelvis cancer with initial symptoms of malignant gastric outlet obstruction |
| title_full | Renal pelvis cancer with initial symptoms of malignant gastric outlet obstruction |
| title_fullStr | Renal pelvis cancer with initial symptoms of malignant gastric outlet obstruction |
| title_full_unstemmed | Renal pelvis cancer with initial symptoms of malignant gastric outlet obstruction |
| title_short | Renal pelvis cancer with initial symptoms of malignant gastric outlet obstruction |
| title_sort | renal pelvis cancer with initial symptoms of malignant gastric outlet obstruction |
| topic | gastric bypass gastric outlet obstruction kidney pelvis neoplasm |
| url | https://doi.org/10.1002/iju5.12652 |
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