ANURIA DUE TO METASTATIC CARCINOMA OF THE URETERS (PRIMARY LESION: STOMACH)

Abstract

I report an interesting case of anuria due to metastatic carcinoma of the ureters.
A female, 41 years of age, was admitted to our clinic with chief complaint of anuria which had been lasting for 5 days. Uretercatheterism was tried. It was done with great difficulty; and yet it was scarcely possible to insert the catheter into the left ureter. After all, no urine was obtained. Then, nephrostomy and decapsulation was done. At that time, I noticed that the peritoneum, colon, ovariums and uterus clearly showed carcinomatous changes and the ureters presented periureteral mass. After 37 days, she died of shock caused by acute abdominal pain. An autopsy revealed that the primary lesion was the cancer in the stomach, and that the actual cause of her death had been its perforation.
This is a rare case of gastric cancer. There are very few cases like that, so I have made researches in these cases seeking for some examples in domestic and foreign references.