Case Reports
Urinoma as an initial presentation of rectosigmoid cancer
Authors:
M M Wani ,
Government Medical College, Srinagar, IN
A Rashid,
Maulana Azad Medical College, New Delhi,, IN
R S Bali,
Maulana Azad Medical College, New Delhi,, IN
R A Bhat
Government Medical College, Srinagar, IN
Abstract
Colorectal cancer is the most common primary malignancy of the gastrointestinal tract and may present with a myriad of symptoms. We describe a case of a 36 year old man who presented with a urinoma on the right side secondary to ureteric obstruction at the pelvic brim. The urinoma did not resolve by conservative measures and a laparotomy was performed this revealed an unsuspected recto-sigmoid adenocarcinoma compressing the right lower ureter producing the urinoma. An anterior resection, along-with en bloc resection of the involved ureter and a ureteroureterostomy, was performed. This case illustrates that a rectal cancer may masquerade as a urinoma and surgeons should keep in mind pelvic causes, particularly a mitotic lesion of the rectosigmoid, as a differential diagnosis in such cases so that proper management ensues.
DOI:http://dx.doi.org/10.4038/sljs.v32i1.6878
The Sri Lanka Journal of Surgery 2014; 32(1): 42-44
How to Cite:
Wani MM, Rashid A, Bali RS, Bhat RA. Urinoma as an initial presentation of rectosigmoid cancer. Sri Lanka Journal of Surgery. 2014;32(1):42–4. DOI: http://doi.org/10.4038/sljs.v32i1.6878
Published on
06 May 2014.
Peer Reviewed
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