2022, Number 5
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Rev Mex Urol 2022; 82 (5)
Metastatic involvement of the orbital due to bladder carcinoma simulating periorbital cellulitis: case report
Bobadilla-Romero ER, Artés-Artés M, García-Porcel V, Alcón-Cerro P, Guzmán-Martínez-Valls PL, Jiménez-Parra JD
Language: Spanish
References: 10
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PDF size: 483.82 Kb.
ABSTRACT
Description of the clinical case: A 67-year-old man with history
of radical cystectomy due to a muscle-invasive bladder tumor
presented with an acute erythema and swelling in the left periorbital
region accompanied by tenderness and decreased ocular
motility. Initially, a periorbital cellulitis was suspected and empirical
antibiotics treatment with initiated. As there was no improvement
with the antibiotic regimen, it was decided to biopsy
the lesion. The biopsy results were consistent with metastasis of
bladder carcinoma.
Relevance: Bladder carcinoma represents one of the most common
urological tumors, affecting predominantly males. The most
frequent sites of metastasis are the lymph nodes, lungs, and bones;
metastatic involvement of the orbit by bladder carcinoma is rare.
Clinical implications: Although metastatic involvement of the
orbit by urothelial tumors is very rare, it is important to know
the characteristics of the lesion in order to make a timely diagnosis
and thus provide adequate treatment.
Conclusion: In patients with a history of bladder cancer who
present periorbital cellulitis without improvement of symptoms
despite adequate antibiotic treatment, orbital involvement due to
bladder tumor metastasis should be suspected.
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