Left Flank Pain and Hydronephrosis as the Initial Presentations of Advanced Gastric Cancer

Left Flank Pain and Hydronephrosis as the Initial Presentations of Advanced Gastric Cancer

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Ureteric obstruction is rarely noted in cases of gastric cancer.Its involvement by distant metastasis from gastric adenocarcinoma without direct invasion is an exceptionally dustin johnson spider putter unusual occurrence.This is the story of a 58-year-old man who arrived at the emergency department with acute flank pain and fever.He was initially diagnosed with obstructive pyelonephritis after 30x24x24 wall cabinet the discovery of a new onset, complete ureteric obstruction on the left side.Subsequent investigations and follow-up revealed the presence of gastric adenocarcinoma with possible ureteric metastasis bilaterally, flank pain and hydronephrosis were the first and only presentations of gastric cancer.

The rarity of the condition and the unusual presentation encouraged us to report the case.