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. Gastr...

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Autores principales: Iwamoto, Nao, Oikawa, Masaaki, Kukimoto, Takashi, Ito, Jun, Murakami, Kazuhiro, Kaiho, Yasuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622218/
https://www.ncbi.nlm.nih.gov/pubmed/37928298
http://dx.doi.org/10.1002/iju5.12652
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author Iwamoto, Nao
Oikawa, Masaaki
Kukimoto, Takashi
Ito, Jun
Murakami, Kazuhiro
Kaiho, Yasuhiro
author_facet Iwamoto, Nao
Oikawa, Masaaki
Kukimoto, Takashi
Ito, Jun
Murakami, Kazuhiro
Kaiho, Yasuhiro
author_sort Iwamoto, Nao
collection PubMed
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.
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spelling pubmed-106222182023-11-03 Renal pelvis cancer with initial symptoms of malignant gastric outlet obstruction Iwamoto, Nao Oikawa, Masaaki Kukimoto, Takashi Ito, Jun Murakami, Kazuhiro Kaiho, Yasuhiro IJU Case Rep Case Reports 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. John Wiley and Sons Inc. 2023-10-05 /pmc/articles/PMC10622218/ /pubmed/37928298 http://dx.doi.org/10.1002/iju5.12652 Text en © 2023 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of Japanese Urological Association. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Iwamoto, Nao
Oikawa, Masaaki
Kukimoto, Takashi
Ito, Jun
Murakami, Kazuhiro
Kaiho, Yasuhiro
Renal pelvis cancer with initial symptoms of malignant gastric outlet obstruction
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 Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622218/
https://www.ncbi.nlm.nih.gov/pubmed/37928298
http://dx.doi.org/10.1002/iju5.12652
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