Metastatic Urothelial Cancer Presenting As Small Bowel Obstruction: A Case Report

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2024 Jun 28

PMID 38939301

Authors

Ahmed Alsaiari

Affiliations

Soon will be listed here.

Abstract

Neoplasms are among the common causes of small bowel obstruction (SBO). Metastatic disease is the most common cause of neoplastic SBO and is most commonly the result of colon, ovarian, pancreatic, and gastric neoplasms. Metastatic SBO secondary to metastatic urothelial carcinoma is exceedingly rare, with only a few cases described in the literature. It is important for physicians to be aware of urothelial carcinoma as a potential etiology of SBO.

References

Li Z, Zhang L, Liu X, Yuan F, Song B . Diagnostic utility of CT for small bowel obstruction: Systematic review and meta-analysis. PLoS One. 2019; 14(12):e0226740. PMC: 6936825. DOI: 10.1371/journal.pone.0226740. View

Cappell M, Batke M . Mechanical obstruction of the small bowel and colon. Med Clin North Am. 2008; 92(3):575-97, viii. DOI: 10.1016/j.mcna.2008.01.003. View

Chen X, Chen X, Yu X, He X . EUS-guided fine needle aspiration provides an open view for duodenal obstruction caused by urothelial carcinoma: a case report. BMC Gastroenterol. 2022; 22(1):376. PMC: 9358900. DOI: 10.1186/s12876-022-02452-1. View

Motoo I, Ando T, Mihara H, Tanaka S, Nanjo S, Kajiura S . Endoscopic Ultrasound-guided Fine Needle Aspiration for the Diagnosis of Duodenal Stenosis Due to Urothelial Carcinoma. Intern Med. 2020; 60(5):719-724. PMC: 7990641. DOI: 10.2169/internalmedicine.5685-20. View

Matsubayashi H, Ishiwatari H, Tanaka M, Iwai T, Matsui T, Fujie S . A Rare Case of Ureteral Carcinoma with Recurrence in the Duodenum Requiring Double Stenting. Intern Med. 2017; 56(22):3077-3082. PMC: 5725864. DOI: 10.2169/internalmedicine.8821-17. View

Cathomas R, Lorch A, Bruins H, Comperat E, Cowan N, Efstathiou J . The 2021 Updated European Association of Urology Guidelines on Metastatic Urothelial Carcinoma. Eur Urol. 2021; 81(1):95-103. DOI: 10.1016/j.eururo.2021.09.026. View

Mullan C, Siewert B, Eisenberg R . Small bowel obstruction. AJR Am J Roentgenol. 2012; 198(2):W105-17. DOI: 10.2214/AJR.10.4998. View

Carsel A, Levy C, Raghavan A, Ortiz J, Sindhwani P, Petros F . Plasmacytoid variant of urothelial carcinoma of the bladder manifesting as bilateral ureteral and small bowel obstruction. Urol Case Rep. 2020; 33:101415. PMC: 7574283. DOI: 10.1016/j.eucr.2020.101415. View

Gore R, Silvers R, Thakrar K, Wenzke D, Mehta U, Newmark G . Bowel Obstruction. Radiol Clin North Am. 2015; 53(6):1225-40. DOI: 10.1016/j.rcl.2015.06.008. View

10.

Mallo R, Salem L, Lalani T, Flum D . Computed tomography diagnosis of ischemia and complete obstruction in small bowel obstruction: a systematic review. J Gastrointest Surg. 2005; 9(5):690-4. DOI: 10.1016/j.gassur.2004.10.006. View

11.

Ploeg M, Aben K, Kiemeney L . The present and future burden of urinary bladder cancer in the world. World J Urol. 2009; 27(3):289-93. PMC: 2694323. DOI: 10.1007/s00345-009-0383-3. View

12.

Ando T, Watanabe K, Takahashi K, Mizusawa T, Sakai T, Katagiri A . Duodenal and rectal obstructions due to urothelial cancer infiltration from recurrent renal pelvic cancer in the bladder wall: An autopsy case. Urol Case Rep. 2019; 27:100903. PMC: 6819769. DOI: 10.1016/j.eucr.2019.100903. View

13.

Kendrick M . Partial small bowel obstruction: clinical issues and recent technical advances. Abdom Imaging. 2008; 34(3):329-34. DOI: 10.1007/s00261-008-9436-0. View

14.

Unluer E, Yavasi O, Eroglu O, Yilmaz C, Akarca F . Ultrasonography by emergency medicine and radiology residents for the diagnosis of small bowel obstruction. Eur J Emerg Med. 2010; 17(5):260-4. DOI: 10.1097/MEJ.0b013e328336c736. View

15.

Miller G, Boman J, Shrier I, Gordon P . Etiology of small bowel obstruction. Am J Surg. 2000; 180(1):33-6. DOI: 10.1016/s0002-9610(00)00407-4. View

16.

Nakai Y, Isayama H, Takahara N, Hamada T, Mohri D, Kogure H . Endoscopic ultrasound-guided fine-needle aspiration for duodenal obstruction without a discrete mass. Dig Dis Sci. 2014; 60(5):1502-4. DOI: 10.1007/s10620-014-3458-y. View

17.

McEntee G, Pender D, Mulvin D, McCullough M, Naeeder S, Farah S . Current spectrum of intestinal obstruction. Br J Surg. 1987; 74(11):976-80. DOI: 10.1002/bjs.1800741105. View

18.

Beizig S, Boulaire J, Pilorge L . [An exceptional complication of bladder cancer: intestinal metastases with obstruction of the small intestine]. Prog Urol. 1992; 2(5):919-20. View

19.

Abbas S, Bissett I, Parry B . Oral water soluble contrast for the management of adhesive small bowel obstruction. Cochrane Database Syst Rev. 2007; (3):CD004651. PMC: 6465054. DOI: 10.1002/14651858.CD004651.pub3. View

20.

Stroman L, Sharma N, Sullivan M . Upper ureteric transitional cell carcinoma, extending to the renal pelvis, presenting as duodenal obstruction. BMJ Case Rep. 2015; 2015. PMC: 4654222. DOI: 10.1136/bcr-2015-210028. View