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Charles B. Anderson, MD
St. Louis

AMA Arch Surg. 1973;107(4):625.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—Advanced carcinoma of the cervix uteri is often manifested by obstruction of the distal portion of one or both ureters.¹ However, proximal obstruction of the ureter from metastatic carcinoma of the cervix is most infrequent. Recently, a patient was encountered with postirradiation recurrent carcinoma of the cervix manifested by bilateral obstruction of both ureters at the ureteropelvic juncture.

Report of a Case

A 41-year-old woman was hospitalized with uremia and bleeding from a rectovaginal fistula 2 years after radiation treatment for a stage III carcinoma of the cervix uteri. Biopsies of the rectovaginal fistula showed no tumor. Retrograde pyelograms demonstrated bilateral hydronephrosis from marked narrowing of the proximal 3 cm of each ureter. There was no evidence of obstruction to the distal portion of either ureter. A celiotomy was performed to divert the fecal stream and ascertain the cause of the ureteral obstructions. The upper one . . . [Full Text PDF of this Article]

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