Locally Invasive Primary Squamous Cell Carcinoma of the Left Ureter in a Patient with a Duplicated Inferior Vena Cava

A 56 year-old female presented to an outside institution for several days of abnormal uterine bleeding. At that time, she underwent a dilation and curettage and was discharged. Five days post-operatively, she presented to the emergency room with abdominal cramping, vaginal bleeding, hematuria, and left flank pain. Cross-sectional imaging was obtained which revealed left moderate hydronephrosis and a soft tissue mid-ureteral mass (figure 1& 2). The endometrial biopsy performed by gynecology resulted in only endometrial hyperplasia.
Source: Urology - Category: Urology & Nephrology Authors: Tags: Grand Rounds Source Type: research