Presentation
Abdominal pain and hematuria.
Patient Data
Age: 80 years
Gender: Female
From the case:
Bladder and bowel cancers
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/39592/annotated_viewer_json?lang=us"}
Large irregular mildly enhancing fungating tumor of the left posterior urinary bladder wall centered on the left VUJ. Left-sided hydronephrosis and hydroureter and associated mildly reduced perfusion to the left kidney. Several low-density renal lesions, representing parapelvic and cortical cysts.
Semi-annular wall thickening of the cecum with length of 3.5 cm and wall thickness up to 1.6 cm. No upstream dilatation.
No enlarged lymph node. No metastases identified.
Hypoplastic left liver lobe. Multiple calcified uterine fibroids.
Conclusion
- Left posterior bladder wall mass causing marked left renal collecting system obstruction likely TCC - recommend cystoscopy.
- Dual diagnosis of cecal malignancy which is almost certainly a primary colonic cancer - recommend colonoscopy.
Case Discussion
Great example of dual pathologies.
Unable to process the form. Check for errors and try again.