A case of metastatic retroperitoneal fibrosis from the gastric adenocarcinoma / 대한비뇨기과학회지

ABSTRACT

We report a case of 45-year-old woman of histologically proven malignant retroperitoneal fibrosis from signet ring cell type adenocarcinoma of the stomach. She had suffered from flank colicky pain for a duration of a month. We underwent ureterolysis with omental wrappine under the impression of retroperitoneal fibrosis due to miss-diagnosed chronic inflammation of periureteral tissue by frozen biopsy at the time of the operation. As urine leaks continued at the drain site for 22 days despite of nephrostomy tube placement, we underwent nephrectomy which revealed signet ring cell type adenocarcinoma. Gastrofiberscopic biopsy resulted in the same adenocarcinoma.