Introduction: Bladder cancer is a common malignancy but presentation with metastatic disease is rare. This is the first reported case of duodenal obstruction as a presentation of metastatic bladder cancer.
Clinical Picture: Amiddle-aged woman presented with nausea, vomiting, weight loss and intermittent haematuria. Radiology and histology confirmed metastatic bladder cancer to the retroperitoneum encasing the duodenum and causing obstruction.
Treatment: Insertion of a duodenal stent relieved the obstruction and palliative chemoradiotherapy was initiated.
Outcome: The patient died 15 months after diagnosis.
Conclusions: Clinicians and radiologists should be aware of atypical presentations of common malignancies.
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