A Case of Pelviureteric Obstruction and Renal Stones with Transitional Cell Carcinoma. Beware of Tumor in Gross Hematuria

Presenting an interesting case report of a patient with gross hematuria. On contrast CT evaluation was found to have pelvicureteric obstruction with multiple secondary calculi. Since he was on anticoagulants and antiplatelets, these were thought tobe the cause of hematuria. On the table when laparoscopic pyeloplasty and stone removal procedure was on, incidental tumorin lower calyx was detected. Pyeloplasty was converted to laparoscopic nephrectomy after discussing with patients’ kin. Thishighlights the importance of suspecting tumor in patients presenting with gross hematuria.