TY - JOUR ID - 159493 TI - Pancreatic Adenocarcinoma Presenting with Biliary Ureteral Stones: A Case Report JO - Translational Research in Urology JA - TRU LA - en SN - AU - Dialameh, Hossein AU - Mirmoghtadaei, Milad AU - Ali, Zoha AU - Khalil, Masoud AU - Namdari, Farshad AU - Karami, Aliakbar AD - Department of Urology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran AD - Pediatric Urology and Regenerative Medicine Research Center, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran AD - Department of Urology, Velayat Hospital, Ghazvin University of Medical Sciences, Ghazvin, Iran AD - Aja University of Medical Sciences, Tehran, Iran Y1 - 2022 PY - 2022 VL - 4 IS - 4 SP - 154 EP - 157 KW - Renal stone KW - Pancreatic adenocarcinoma KW - Ureteral Stone KW - biliary DO - 10.22034/tru.2022.329008.1102 N2 - Introduction: calcium oxalate, phosphate, struvite, uric acid, and cysteine make up the majority of urinary stones. Moreover, only 0.5 -3.5 percent of urinary stones have a different composition. A thorough history, physical examination, along with urinary stone analysis helps to diagnose the cause of rare urinary stones.Case presentation: We herein report a case of pancreatic cancer with the unusual presentation of renal colic and ureteral stones. After removing the stones with ureterolithotripsy, the stone analysis revealed bilirubin crystal composition. Upon further follow-up, the patient has diagnosed with adenocarcinoma of the head of the pancreas.Conclusions: This case highlights the importance of stone analysis, while many urologists do not consider this, and this is my result in miss diagnosis of some dangerous diseases that may present with the uncommon presentation. UR - http://www.transresurology.com/article_159493.html L1 - http://www.transresurology.com/article_159493_9c2a8559569cc18ef92df0b47f991518.pdf ER -