Small bowel obstruction secondary to metastatic urothelial bladder cancer

Small bowel obstruction secondary to primary cancer, such as carcinoid and adenocarcinoma, is not unusual. Less frequently, hematological metastasis from breast, lung, melanoma can occur. However, urothelial bladder carcinoma extremely rare. In this index case, we describe a 71-year-old Caucasian man with prior history of carcinoma. He was treated successfully chemoradiation local resection year his current presentation small which required surgical loop jejunum, found be caused by obstructive, metastatic on pathology. Therefore, one should consider the possibility obstructive malignant lesions arising urinary in patient when presented