Spontaneous ureteral urine extravasation from invasion of a
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Spontaneous ureteral urine extravasation is defined as perforation not induced by iatrogenic manipulation, external trauma, degenerative kidney disease, urography with external compression, or previous surgery. This article describes an unusual case of extrinsic invasion of a tumor directly into the ureter causing spontaneous ureteral urine extravasation.A 69-year-old male with a past medical history of hypertension, diabetes, and atrial fibrillation presented to the Urology clinic with asymptomatic microscopic hematuria. His work up for hematuria included a negative cystoscopy and a computed tomography (CT) scan, which revealed what appeared to be a fluid collection around the left kidney with a perinephric infiltrative mass and two para-aortic enlarged lymph nodes...

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