Bladder and bowel cancers

Case contributed by Dr Craig Hacking


Abdominal pain and haematuria

Patient Data

Age: 80
Gender: Female

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.


  1. Left posterior bladder wall mass causing marked left renal collecting system obstruction likely TCC - recommend cystoscopy.
  2. Dual diagnosis of cecal malignancy which is almost certainly a primary colonic cancer - recommend colonoscopy.

Case Discussion

Great example of dual pathologies.

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Case information

rID: 37688
Published: 18th Jun 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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